Provider Demographics
NPI:1912111287
Name:DU TOIT, SUSAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:
Last Name:DU TOIT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:78612-3216
Mailing Address - Country:US
Mailing Address - Phone:512-296-6871
Mailing Address - Fax:512-303-1239
Practice Address - Street 1:265 CEDAR LN
Practice Address - Street 2:
Practice Address - City:CEDAR CREEK
Practice Address - State:TX
Practice Address - Zip Code:78612-3216
Practice Address - Country:US
Practice Address - Phone:512-296-6871
Practice Address - Fax:512-303-1239
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2012-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6541111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor