Individual
DAVID B HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
423 IDAHO ST STE A, GOODING, ID 83330-1258
(208) 934-9011
(208) 934-9014
Mailing address
423 IDAHO ST STE A, GOODING, ID 83330-1258
(208) 934-9011
(208) 934-9014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10145012
BLUE SHIELD
ID
01
—
571155611
TRICARE
ID
05
—
806724700
—
ID
01
—
P00099594
RAILROAD MEDICARE
ID
01
—
T8810
BLUE CROSS
ID
Enumeration date
04/25/2006
Last updated
10/28/2008
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