Provider Demographics
NPI:1114220407
Name:TUTTLE, CHRISTOPHER YORK (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:YORK
Last Name:TUTTLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 HWY 14 W. SUITE B
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901
Mailing Address - Country:US
Mailing Address - Phone:507-208-4538
Mailing Address - Fax:
Practice Address - Street 1:2625 HWY 14 W STE B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NC
Practice Address - Zip Code:55901
Practice Address - Country:US
Practice Address - Phone:507-208-4538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60197312111N00000X
MN5576111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor