Provider Demographics
NPI:1477883890
Name:HUTCHENS, ANDREW STEVEN (ATC, CSCS, CPT, CKTP)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:STEVEN
Last Name:HUTCHENS
Suffix:
Gender:M
Credentials:ATC, CSCS, CPT, CKTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1677 ROUTE 65
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-5217
Mailing Address - Country:US
Mailing Address - Phone:724-752-2716
Mailing Address - Fax:724-752-0990
Practice Address - Street 1:1677 ROUTE 65
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-5217
Practice Address - Country:US
Practice Address - Phone:724-752-2716
Practice Address - Fax:724-752-0990
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0040552255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer