Anthony Jay Hautman
Individual provider Active NPI Occupational Therapist · Huntingburg, IN
NPI 1275834764 · NPPES record last updated Nov 15, 2010
Key facts
- NPI
- 1275834764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 99044746A (IN)
- Practice address
- 1712 N Leland Dr
Huntingburg, IN 47542-9348 - Phone
- (812) 683-4090
- NPI assigned
- Nov 15, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99044746A | IN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 99044746A | IN | Yes |
Addresses
Primary practice location
1712 N Leland Dr
Huntingburg, IN 47542-9348
Mailing address
6841 Romaine Rd
Poseyville, IN 47633-8826
Phone (812) 205-9994
Other providers in Huntingburg, IN
- Jenna N Gogel
- Dane Troy Goodwin
- Jamie Lynn Greenwell
- Ava Ham
- Carolyn Hampton
- Healthcare Centers of Indiana, LLC
- Britni Nichole Hendrix
- Hook-Superx LLC
- Gavin Lee Hopf
- Houchens Express Pharmacy LLC
All providers in Huntingburg, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.