Provider Demographics
NPI:1063127488
Name:HUTCHINSON, SCOTTIE (CPO)
Entity type:Individual
Prefix:
First Name:SCOTTIE
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:
Other - Last Name:HUTCHINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 JUNCTION RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-2791
Mailing Address - Country:US
Mailing Address - Phone:608-301-7938
Mailing Address - Fax:608-278-9395
Practice Address - Street 1:350 JUNCTION RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-2791
Practice Address - Country:US
Practice Address - Phone:608-278-9773
Practice Address - Fax:608-278-9395
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Multi-Specialty
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetistGroup - Multi-Specialty