Provider Demographics
NPI:1861729634
Name:HUTCHINS, TAMARA (MSTCM, CMT)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:MSTCM, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 S JACKSON ST
Mailing Address - Street 2:302
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3801
Mailing Address - Country:US
Mailing Address - Phone:720-935-8553
Mailing Address - Fax:303-837-1167
Practice Address - Street 1:1776 S JACKSON ST
Practice Address - Street 2:302
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3801
Practice Address - Country:US
Practice Address - Phone:720-935-8553
Practice Address - Fax:303-837-1167
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-15
Last Update Date:2009-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO987171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist