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NPI Code Detail

MEDICARE: SAMANTHA HATCHETT

MEDICARE: SAMANTHA HATCHETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant8740TN

General Provider Information

NPI Number : 1093545774
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA HATCHETT
Provider Business Mailing Address
First Line : 257 BANCORP SOUTH PKWY
Second Line :
City : JACKSON
State : TN
Zip : 38305-7582
Country : US
Telephone Number : 731-660-8781
Fax Number : 731-660-8739
Provider Business Practice Location Address
First Line : 101 JACKSON WALK PLZ
Second Line :
City : JACKSON
State : TN
Zip : 38301-3008
Country : US
Telephone Number : 731-421-6950
Fax Number : 731-660-8739
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 04/07/2026

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Directions to “ SAMANTHA HATCHETT ” Practice Location

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