Provider Demographics
NPI:1457233470
Name:KUTCH, HALEY H (DPT)
Entity type:Individual
Prefix:DR
First Name:HALEY
Middle Name:H
Last Name:KUTCH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:HALEY
Other - Middle Name:H
Other - Last Name:KUTCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 35232
Mailing Address - Street 2:ATTENTION CREDENTIALING
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0630
Mailing Address - Country:US
Mailing Address - Phone:682-208-9048
Mailing Address - Fax:
Practice Address - Street 1:2716 TRAVIS DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2089
Practice Address - Country:US
Practice Address - Phone:949-693-7224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX313456225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist