Provider Demographics
NPI:1922384395
Name:HUTCHISON, KIRSTEN BENNETT (MT-BC)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:BENNETT
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14360 SE EASTGATE WAY
Mailing Address - Street 2:STE. 102
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-6462
Mailing Address - Country:US
Mailing Address - Phone:425-644-0988
Mailing Address - Fax:425-644-0989
Practice Address - Street 1:14360 SE EASTGATE WAY
Practice Address - Street 2:STE. 102
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-6462
Practice Address - Country:US
Practice Address - Phone:425-644-0988
Practice Address - Fax:425-644-0989
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist