Healthcare Provider Details

I. General information

NPI: 1740246875
Provider Name (Legal Business Name): COURTNEY L HUTSON P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8448 SIEGEN LN
BATON ROUGE LA
70810-1938
US

IV. Provider business mailing address

8448 SIEGEN LN
BATON ROUGE LA
70810-1938
US

V. Phone/Fax

Practice location:
  • Phone: 225-767-8182
  • Fax:
Mailing address:
  • Phone: 225-767-8182
  • Fax: 225-654-4642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number06825
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: