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NPI Code Detail

MEDICARE: MRS. ALISHA LEE HUTCHASON

MEDICARE:  MRS. ALISHA LEE HUTCHASON
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
1224Z00000XOccupational Therapy Assistant1167NV

General Provider Information

NPI Number : 1164810479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALISHA LEE HUTCHASON
Provider Business Mailing Address
First Line : 5916 TIPPERARY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7286
Country : US
Telephone Number : 702-528-1167
Fax Number :
Provider Business Practice Location Address
First Line : 5916 TIPPERARY ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-7286
Country : US
Telephone Number : 702-528-1167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2015
Last Update Date : 01/08/2015

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Directions to “ MRS. ALISHA LEE HUTCHASON ” Practice Location

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