Provider Demographics
NPI:1780388538
Name:MACY-HUTTER, SIERRA (DACM)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:MACY-HUTTER
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 CAPE SEBASTIAN PL
Mailing Address - Street 2:
Mailing Address - City:CARDIFF
Mailing Address - State:CA
Mailing Address - Zip Code:92007-2200
Mailing Address - Country:US
Mailing Address - Phone:858-829-7396
Mailing Address - Fax:
Practice Address - Street 1:2908 CAPE SEBASTIAN PL
Practice Address - Street 2:
Practice Address - City:CARDIFF
Practice Address - State:CA
Practice Address - Zip Code:92007-2200
Practice Address - Country:US
Practice Address - Phone:858-829-7396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3393171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist