Provider Demographics
NPI:1164985891
Name:HUTCHISON, CALLI ANNE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CALLI
Middle Name:ANNE
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CALLI
Other - Middle Name:ANNE
Other - Last Name:PAYDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1237 E SILVER ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-3147
Mailing Address - Country:US
Mailing Address - Phone:602-616-0926
Mailing Address - Fax:
Practice Address - Street 1:4343 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1665
Practice Address - Country:US
Practice Address - Phone:520-591-5346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05013074A225100000X
AZLPT-30677225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist