Individual
MR. BRUCE HUTCHINSON
Active
Individual
MR. BRUCE HUTCHINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
MSG000218
PA
Other
Enumeration date
01/19/2013
Last updated
06/28/2019
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