Provider Demographics
NPI:1194240713
Name:HUTCHINSON, HEATHER RAE (PT, DPT, CLT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:RAE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PT, DPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7884 W SAHARA AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1944
Mailing Address - Country:US
Mailing Address - Phone:702-766-2624
Mailing Address - Fax:702-979-1703
Practice Address - Street 1:7884 W SAHARA AVE STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1944
Practice Address - Country:US
Practice Address - Phone:702-766-2624
Practice Address - Fax:702-979-1703
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2025-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4453225100000X
CA293353225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist