MEDICARE: CALLI ANNE HUTCHISON PT, DPT

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
1	225100000X	Physical Therapist	05013074A	IN
2	225100000X	Physical Therapist	LPT-30677	AZ

General Provider Information

NPI Number	:	1164985891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALLI ANNE HUTCHISON PT, DPT

Provider Business Mailing Address
First Line	:	1237 E SILVER ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-3147
Country	:	US
Telephone Number	:	602-616-0926
Fax Number	:

Provider Business Practice Location Address
First Line	:	4343 N ORACLE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-1665
Country	:	US
Telephone Number	:	520-591-5346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	09/08/2020

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