Provider Demographics
NPI:1457501991
Name:HUTCHINS, KACEY E (MSPT)
Entity Type:Individual
Prefix:MS
First Name:KACEY
Middle Name:E
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 BEECHLAND RD
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-2533
Mailing Address - Country:US
Mailing Address - Phone:207-667-4800
Mailing Address - Fax:207-667-5600
Practice Address - Street 1:78 BEECHLAND RD
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-2533
Practice Address - Country:US
Practice Address - Phone:207-667-4800
Practice Address - Fax:207-667-5600
Is Sole Proprietor?:No
Enumeration Date:2008-09-21
Last Update Date:2008-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT3320225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist