Healthcare Provider Details

I. General information

NPI: 1265354765
Provider Name (Legal Business Name): ANTHONY DOUGLAS OTTE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 E 30TH AVE
HUTCHINSON KS
67502-2412
US

IV. Provider business mailing address

421 E 30TH AVE
HUTCHINSON KS
67502-2412
US

V. Phone/Fax

Practice location:
  • Phone: 620-663-2678
  • Fax:
Mailing address:
  • Phone: 620-663-2678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-06489
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: