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Individual

MR. JOHN R. HUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
741 FASHION DR, HEALTHTOUCH, LLC, COLUMBIA, SC 29229-7936
(803) 227-8005
(803) 419-1568
Mailing address
PO BOX 843446, HEALTHTOUCH, LLC, BOSTON, MA 02284-3446
(803) 227-8009
(803) 227-8039

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4200
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4200
PT LICENSE #
SC
01
861168971
EMPLOYER ID#
SC
Enumeration date
03/08/2006
Last updated
06/10/2009
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