Healthcare Provider Details

I. General information

NPI: 1508171927
Provider Name (Legal Business Name): ROBIN C HUTCHINS LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2010
Last Update Date: 08/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 S SULLIVAN RD STE B
SPOKANE VALLEY WA
99037-6000
US

IV. Provider business mailing address

325 S SULLIVAN RD STE B
SPOKANE VALLEY WA
99037-6000
US

V. Phone/Fax

Practice location:
  • Phone: 509-928-9098
  • Fax: 509-928-9091
Mailing address:
  • Phone: 509-928-9098
  • Fax: 509-928-9091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60159728
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: