Provider Demographics
NPI:1467658955
Name:HUTYROVA, DANIELA (NMD, PHD)
Entity type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:
Last Name:HUTYROVA
Suffix:
Gender:F
Credentials:NMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 S CANDY LN
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-4120
Mailing Address - Country:US
Mailing Address - Phone:928-649-9686
Mailing Address - Fax:928-649-2024
Practice Address - Street 1:203 S CANDY LN
Practice Address - Street 2:SUITE 2B
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4120
Practice Address - Country:US
Practice Address - Phone:928-649-9686
Practice Address - Fax:928-649-2024
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ98-542175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath