Individual
SHELBY ALYSSA HUTCHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, AT, ATC
Contact information
Practice address
6518 SAND CREEK HWY, SAND CREEK, MI 49279-9703
(734) 731-6045
Mailing address
1139 DIVISION ST, ADRIAN, MI 49221-4214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000023721
BOC
—
01
—
2601002267
STATE LICENSURE
MI
Enumeration date
10/03/2017
Last updated
11/12/2024
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