Healthcare Provider Details

I. General information

NPI: 1447750880
Provider Name (Legal Business Name): WENDY A HUTCHINSON LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 02/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 BRAINERD RD STE B
CHATTANOOGA TN
37411-3828
US

IV. Provider business mailing address

4727 BRAINERD RD STE B
CHATTANOOGA TN
37411-3828
US

V. Phone/Fax

Practice location:
  • Phone: 423-661-8529
  • Fax: 423-498-3182
Mailing address:
  • Phone: 423-661-8529
  • Fax: 423-498-3182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT10650
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: