Provider Demographics
NPI:1164433124
Name:HUTCHINGS, ADRIANA (LMP)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:HUTCHINGS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 B ST SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-6529
Mailing Address - Country:US
Mailing Address - Phone:360-791-6851
Mailing Address - Fax:
Practice Address - Street 1:308 B ST SW
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-6529
Practice Address - Country:US
Practice Address - Phone:360-791-6851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA024201 MA00015695225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist