Healthcare Provider Details

I. General information

NPI: 1366943375
Provider Name (Legal Business Name): JAIMIE L. HUTCHINS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2018
Last Update Date: 02/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 SHELBY ST
INDIANAPOLIS IN
46227-6258
US

IV. Provider business mailing address

1226 SIENA DR
GREENWOOD IN
46143-6359
US

V. Phone/Fax

Practice location:
  • Phone: 317-885-4446
  • Fax:
Mailing address:
  • Phone: 765-426-1965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: