Provider Demographics
NPI:1295919389
Name:HUTCHISON, STEVEN J (PT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:HUTCHISON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 MONTCLAIRE DR SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-3348
Mailing Address - Country:US
Mailing Address - Phone:505-453-8639
Mailing Address - Fax:
Practice Address - Street 1:509 MONTCLAIRE DR SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-3348
Practice Address - Country:US
Practice Address - Phone:505-453-8639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-25
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3070225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist