Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH9097 | FL |
N | 111NX0100X | Occupational Health | CH9097 | FL |
NPI | 1093861924 |
---|---|
Provider Name | Dr. Rachel Selena Hutchison |
First Address | Fort Walton Beach, FL 32548-4917 |
Second Address | Fort Walton Beach, FL 32548-4917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 11/03/2016 |