Provider Demographics
NPI:1992862254
Name:HUTCHISON, DENIS J
Entity Type:Individual
Prefix:MR
First Name:DENIS
Middle Name:J
Last Name:HUTCHISON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 COCHISE DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-7928
Mailing Address - Country:US
Mailing Address - Phone:928-284-3789
Mailing Address - Fax:928-284-3788
Practice Address - Street 1:51 BELL ROCK PLZ
Practice Address - Street 2:SUITE B
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-9062
Practice Address - Country:US
Practice Address - Phone:928-284-1703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-01469225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist