Individual
MR. SAMUEL THOMAS HUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1601 BUTTERFIELD TRL, KANKAKEE, IL 60901-2959
(815) 936-6500
Mailing address
2080 E OLD PINE BLUFF RD, MORRIS, IL 60450-9670
(815) 405-1958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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