Doctor Name: | THOMAS DAN HUTTON |
NPI Number: | 1326246505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 103482 |
Business Practice Address: | 2450 Riverside Ave Minneapolis, MN - 554541450 |
Business Phone Number: | 6126726000 |
Business Fax Number: | |
Mailing Address: | 4608 Cambridge Dr, EAGAN |
State: | MN |
Postal Code: | 551222709 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | 103482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |