Provider Demographics
NPI:1679659031
Name:HUTCHISON, TONNIE LEE (DC)
Entity type:Individual
Prefix:DR
First Name:TONNIE
Middle Name:LEE
Last Name:HUTCHISON
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 1:4444 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1822
Mailing Address - Country:US
Mailing Address - Phone:859-341-3337
Mailing Address - Fax:859-341-3337
Practice Address - Street 1:4444 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1822
Practice Address - Country:US
Practice Address - Phone:859-341-3337
Practice Address - Fax:859-341-3337
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor