Healthcare Provider Details

I. General information

NPI: 1891162160
Provider Name (Legal Business Name): MATTHEW HUTCHINS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2015
Last Update Date: 08/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 CLINT DR
PICKERINGTON OH
43147-7994
US

IV. Provider business mailing address

6545 COOPER MEADOWS RD
WESTERVILLE OH
43081-8938
US

V. Phone/Fax

Practice location:
  • Phone: 614-864-7500
  • Fax:
Mailing address:
  • Phone: 717-612-8551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.015392
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: