Provider Demographics
NPI:1588102966
Name:HINTON, BRETT ANDREW (ATC)
Entity type:Individual
Prefix:MR
First Name:BRETT
Middle Name:ANDREW
Last Name:HINTON
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:672 AURORA CT
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-4063
Mailing Address - Country:US
Mailing Address - Phone:916-616-0708
Mailing Address - Fax:
Practice Address - Street 1:672 AURORA CT
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-4063
Practice Address - Country:US
Practice Address - Phone:916-616-0708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer