| Therapy Hutt, Llc | |
|
1200 Valley West Dr Ste 704 West Des Moines IA 50266-1907 | |
| (515) 316-6033 | |
| (515) 325-8177 |
| Full Name | Therapy Hutt, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1200 Valley West Dr, West Des Moines, Iowa |
| Authorized Official Name and Position | Alicia Hutt (OWNER/PROVIDER) |
| Authorized Official Contact | 5152101679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Hutt, Llc 1200 Valley West Dr Ste 704 West Des Moines IA 50266-1907 Ph: (515) 210-1679 | Therapy Hutt, Llc 1200 Valley West Dr Ste 704 West Des Moines IA 50266-1907 Ph: (515) 316-6033 |
| NPI Number | 1457041998 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 0941666069 |
|---|---|
| Medicare Enrollment ID | O20230516001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457041998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alicia S Hutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558682781 PECOS PAC ID: 2668660614 Enrollment ID: I20101217000552 |
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