Healthcare Provider Details

I. General information

NPI: 1245165356
Provider Name (Legal Business Name): MS. ALEXIS P HUTCHERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

994 COPPERFIELD BLVD NE UNIT 6
CONCORD NC
28025-2433
US

IV. Provider business mailing address

119 NORTHBEND DR APT B
CHARLOTTE NC
28262-2480
US

V. Phone/Fax

Practice location:
  • Phone: 704-565-0262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number20294
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: