Provider Demographics
NPI:1093162109
Name:HUTCHINS, MARI (DS)
Entity Type:Individual
Prefix:
First Name:MARI
Middle Name:
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:DS
Other - Prefix:
Other - First Name:MARI
Other - Middle Name:
Other - Last Name:GUFFIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:216 S C ST
Mailing Address - Street 2:PO BOX 548
Mailing Address - City:GRANGEVILLE
Mailing Address - State:ID
Mailing Address - Zip Code:83530-1342
Mailing Address - Country:US
Mailing Address - Phone:208-982-3484
Mailing Address - Fax:208-983-2440
Practice Address - Street 1:216 S C ST
Practice Address - Street 2:
Practice Address - City:GRANGEVILLE
Practice Address - State:ID
Practice Address - Zip Code:83530-1342
Practice Address - Country:US
Practice Address - Phone:208-983-4844
Practice Address - Fax:208-983-2440
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist