Provider Demographics
NPI:1417313594
Name:HOUTZ, HANNAH LEIGH
Entity Type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:LEIGH
Last Name:HOUTZ
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 1:9610 BUCKHORN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-8687
Mailing Address - Country:US
Mailing Address - Phone:248-497-8532
Mailing Address - Fax:
Practice Address - Street 1:9610 BUCKHORN LAKE RD
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-8687
Practice Address - Country:US
Practice Address - Phone:248-497-8532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other