Provider Demographics
NPI:1134744196
Name:HUTTO THERAPY SERVICES
Entity type:Organization
Organization Name:HUTTO THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUTTO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:501-514-4328
Mailing Address - Street 1:17391 HIGHWAY 65 S
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:AR
Mailing Address - Zip Code:72039-8913
Mailing Address - Country:US
Mailing Address - Phone:501-514-4328
Mailing Address - Fax:
Practice Address - Street 1:17391 HIGHWAY 65 S
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:AR
Practice Address - Zip Code:72039-8913
Practice Address - Country:US
Practice Address - Phone:501-514-4328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty