Provider Demographics
NPI:1043971468
Name:GUTOSKY, HANNAH LAUREN (ATC)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:LAUREN
Last Name:GUTOSKY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2519 SQUIRE MANOR PL
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-7098
Mailing Address - Country:US
Mailing Address - Phone:336-423-1353
Mailing Address - Fax:
Practice Address - Street 1:100 BELMONT MOUNT HOLLY RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-1802
Practice Address - Country:US
Practice Address - Phone:704-761-6215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer