Individual
MARCUS HUTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 YELLOWJACKET LN, CLINTON, AR 72031-6873
(501) 745-6034
Mailing address
17391 HIGHWAY 65 S, DAMASCUS, AR 72039-8913
(501) 514-4328
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
OTR1762
AR
225X00000X
Occupational Therapist
Primary
OTR1762
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148502721
—
AR
Enumeration date
01/03/2007
Last updated
03/10/2022
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