Healthcare Provider Details

I. General information

NPI: 1346036100
Provider Name (Legal Business Name): COURTNEY RAE HUTCHINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY RAE HEYS

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 S ROBINSON ST
TEHACHAPI CA
93561-1723
US

IV. Provider business mailing address

21261 GOLDEN HILLS BLVD UNIT B
TEHACHAPI CA
93561
US

V. Phone/Fax

Practice location:
  • Phone: 661-903-8822
  • Fax:
Mailing address:
  • Phone: 661-904-7966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: