Healthcare Provider Details

I. General information

NPI: 1992862254
Provider Name (Legal Business Name): MR. DENIS J. HUTCHISON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 BELL ROCK PLZ SUITE B
SEDONA AZ
86351-9062
US

IV. Provider business mailing address

135 COCHISE DR
SEDONA AZ
86351-7928
US

V. Phone/Fax

Practice location:
  • Phone: 928-284-1703
  • Fax:
Mailing address:
  • Phone: 928-284-3789
  • Fax: 928-284-3788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-01469
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: