MEDICARE: AMANDA HUTCHINS LMT

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	225700000X	Massage Therapist	8197446-4701	UT

General Provider Information

NPI Number	:	1427884535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA HUTCHINS LMT

Provider Business Mailing Address
First Line	:	7441 S RICH WAY
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-4862
Country	:	US
Telephone Number	:	801-888-4371
Fax Number	:

Provider Business Practice Location Address
First Line	:	1770 E FORT UNION BLVD STE 101
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-2881
Country	:	US
Telephone Number	:	801-888-4371
Fax Number	:

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

Provider Enumeration Date	:	09/13/2024
Last Update Date	:	09/13/2024

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