Individual
ANDREW MARSHALL HATCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1102 DEKALB PLAZA BLVD SW, FORT PAYNE, AL 35967-4868
(256) 997-9991
(256) 997-9950
Mailing address
1102 DEKALB PLAZA BLVD SW, FORT PAYNE, AL 35967-4868
(256) 997-9991
(256) 997-9950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3406
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013114065
NPI ORGANIZATION NUMBER
AL
01
—
1437180809
NPI
—
01
—
26-0468379
TID
—
01
—
51048428
BCBS
AL
01
—
510I650207
MEDICARE PTAN
—
01
—
51596286
BCBS
—
01
—
PTH3406
PHYSICAL THERAPY
AL
Enumeration date
07/05/2006
Last updated
09/23/2011
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