Hutson, Dana Nicole

Hutson, Dana Nicole is an individual health care provider with primary practice located at 1315 Walnut St , Texarkana TX 75501-4446. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Hutson, Dana Nicole can be contacted via phone (903) 794-2705.

Contact Information

Primary practice address
1315 Walnut St Texarkana TX 75501-4446
Phone: (903) 794-2705
Fax: (903) 794-2705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2109412 Texas

Profile Details

NPI number 1780102228
LBN Legal business name Hutson, Dana Nicole
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Jun 16th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780102228 NPPES
Texas MEDICAID 021289601

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