Healthcare Provider Details

I. General information

NPI: 1578895579
Provider Name (Legal Business Name): KATHERINE M HUTCHINSON DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2010
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 RICHLAND MEDICAL PARK DR SUITE 310
COLUMBIA SC
29203-6877
US

IV. Provider business mailing address

5 RICHLAND MEDICAL PARK DR
COLUMBIA SC
29203-6863
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6137
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: