Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 4453 | CO |
NPI | 1124081179 |
---|---|
Provider Name | Dr. Jill M Hutter |
First Address | Denver, CO 80237-1419 |
Second Address | Denver, CO 80237-1419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 04/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C47113 | (02) | CO |