NPI 1164411179

Dennis Brian Mutell, DC

Practitioner Nutrition Chiropractor Covington, LA

Practice location

Address: 832 E Boston St Suite 8, Covington, LA 70433-2985
Phone: (985) 875-2225
Fax: (985) 875-2223

Registered specialties

Nutrition Chiropractor Primary

Chiropractic Providers Taxonomy 111NN1001X Licence 1101 (LA)

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Registry record

NPI: 1164411179
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2005
Record last updated: 10 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.