MEDICARE: LYNSEY AMANDA HATCHETT P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	3102980	TX
2	225100000X	Physical Therapist	1172370	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8T8598	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144437278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNSEY AMANDA HATCHETT P.T.

Provider Business Mailing Address
First Line	:	P.O. BOX 2500
Second Line	:
City	:	ROCKWALL
State	:	TX
Zip	:	75087-9000
Country	:	US
Telephone Number	:	972-771-0999
Fax Number	:	972-777-1228

Provider Business Practice Location Address
First Line	:	1010 N. BELTLINE ROAD
Second Line	:	SUITE 102
City	:	MESQUITE
State	:	TX
Zip	:	75149-1774
Country	:	US
Telephone Number	:	972-288-2400
Fax Number	:	972-288-0222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	02/23/2009

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