Hutto, Tara R
Hutto, Tara R is an individual health care provider with primary practice located at 5150 Village Square Dr , Paducah KY 42001-9060. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hutto, Tara R can be contacted via phone (270) 415-9575.Contact Information
Primary practice address
5150 Village Square Dr
Paducah KY 42001-9060
Phone: (270) 415-9575
Fax: (270) 415-9576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT002077 | Kentucky |
Profile Details
| NPI number | 1093796062 |
|---|---|
| LBN Legal business name | Hutto, Tara R |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Dec 2nd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093796062 | NPPES |
| Kentucky | Other | 000000288348 | ANTHEM |
| Kentucky | Other | 1109154002 | ANTHEM |
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