Provider Demographics
NPI:1306419528
Name:HOTCHKISS, ANNIKA GRACE
Entity Type:Individual
Prefix:
First Name:ANNIKA
Middle Name:GRACE
Last Name:HOTCHKISS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MIDWAY LN
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-2407
Mailing Address - Country:US
Mailing Address - Phone:224-433-9842
Mailing Address - Fax:
Practice Address - Street 1:12740 N PLAZA DEL RIO BLVD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-8100
Practice Address - Country:US
Practice Address - Phone:480-581-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-24
Last Update Date:2021-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist