Provider Demographics
NPI:1528663721
Name:HUTCHINS, DAVID (PT, DPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1310
Mailing Address - Country:US
Mailing Address - Phone:339-236-1898
Mailing Address - Fax:
Practice Address - Street 1:200 KENDALL ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2532
Practice Address - Country:US
Practice Address - Phone:484-985-5541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25211208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation