Healthcare Provider Details

I. General information

NPI: 1033371505
Provider Name (Legal Business Name): KATHLEEN ERIN HUTCHINSON PT DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 NE RIDDELL RD STE 170
BREMERTON WA
98310-3060
US

IV. Provider business mailing address

5050 STATE HIGHWAY 303 NE # 103-221
BREMERTON WA
98311-3629
US

V. Phone/Fax

Practice location:
  • Phone: 360-474-3274
  • Fax: 360-824-6720
Mailing address:
  • Phone: 360-474-3274
  • Fax: 360-824-6720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT60028941
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: