Provider Demographics
NPI:1225650294
Name:HUTCHINSON, SAVANNAH STCLAIR (PT, DPT)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:STCLAIR
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15940 BRIXHAM HILL AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-4950
Mailing Address - Country:US
Mailing Address - Phone:704-667-8531
Mailing Address - Fax:
Practice Address - Street 1:15940 BRIXHAM HILL AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4950
Practice Address - Country:US
Practice Address - Phone:704-667-8530
Practice Address - Fax:704-667-8531
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT34940225100000X
NCP21623225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist