Provider Demographics
NPI:1306506373
Name:HUTCHISON, REYNA (DPT)
Entity type:Individual
Prefix:
First Name:REYNA
Middle Name:
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34857 575TH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:56159-2207
Mailing Address - Country:US
Mailing Address - Phone:507-491-9275
Mailing Address - Fax:
Practice Address - Street 1:718 MOUND AVE
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-1626
Practice Address - Country:US
Practice Address - Phone:507-345-4576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic