Provider Demographics
NPI:1144538950
Name:HUTTO, JOSHUA C (PT)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:C
Last Name:HUTTO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 AUSTIN RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-2585
Mailing Address - Country:US
Mailing Address - Phone:251-802-9193
Mailing Address - Fax:
Practice Address - Street 1:425 SHELBY LN
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-5840
Practice Address - Country:US
Practice Address - Phone:423-797-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-15
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9427225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist