Provider Demographics
NPI:1871371666
Name:HUTSON, RACHEL (DC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HUTSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:HUTSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1364 INTERSTATE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-6187
Mailing Address - Country:US
Mailing Address - Phone:931-456-8880
Mailing Address - Fax:931-456-8883
Practice Address - Street 1:19790 ALBERTA ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-3307
Practice Address - Country:US
Practice Address - Phone:423-569-8931
Practice Address - Fax:423-569-8932
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3741111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor