Individual
KELLY MARIE HUTCHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
Mailing address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
(208) 542-9577
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-2460
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT-2460
—
ID
Enumeration date
11/01/2021
Last updated
11/01/2021
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