Provider Demographics
NPI:1437538493
Name:HUTCHISON, DESIREE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DESIREE
Other - Middle Name:
Other - Last Name:GIROUX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:18512 E LINVALE PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-4700
Mailing Address - Country:US
Mailing Address - Phone:970-310-0132
Mailing Address - Fax:
Practice Address - Street 1:864 BARRANCA DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7420
Practice Address - Country:US
Practice Address - Phone:720-708-4475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-23
Last Update Date:2015-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0011965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist