Provider Demographics
NPI:1831896133
Name:HUTCHISON, AUSTEN (MS, LAT, ATC, SMTC)
Entity type:Individual
Prefix:
First Name:AUSTEN
Middle Name:
Last Name:HUTCHISON
Suffix:
Gender:M
Credentials:MS, LAT, ATC, SMTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:492 SANDLIN LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:76082-6607
Mailing Address - Country:US
Mailing Address - Phone:714-566-5859
Mailing Address - Fax:
Practice Address - Street 1:4210 BOAT CLUB RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-2606
Practice Address - Country:US
Practice Address - Phone:817-306-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT60692255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer