Provider Demographics
NPI:1992083380
Name:HUTCHINSON, ABBY L (PTA)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:L
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 E HOLLAND AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1246
Mailing Address - Country:US
Mailing Address - Phone:509-755-5480
Mailing Address - Fax:509-232-4290
Practice Address - Street 1:605 E HOLLAND AVE STE 112
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1246
Practice Address - Country:US
Practice Address - Phone:509-755-5480
Practice Address - Fax:509-232-4290
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAP160229413225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist