Provider Demographics
NPI:1972316859
Name:HUTLEY, ERIC RICHARD (DC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:RICHARD
Last Name:HUTLEY
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 1:12334 MACKEY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-1431
Mailing Address - Country:US
Mailing Address - Phone:785-221-0930
Mailing Address - Fax:
Practice Address - Street 1:2139 E 151ST ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2969
Practice Address - Country:US
Practice Address - Phone:785-221-0930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-06382111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor