Candace Lue Hutts
Individual provider Active NPI Occupational Therapy Assistant · Covington, IN
NPI 1992018733 · NPPES record last updated Jul 21, 2010
Key facts
- NPI
- 1992018733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 99043191A (IN)
- Practice address
- 1600 Liberty St
Covington, IN 47932-1715 - Phone
- (765) 793-4818
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 99043191A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 99043191A | IN | Yes |
Addresses
Primary practice location
1600 Liberty St
Covington, IN 47932-1715
Mailing address
502 N 3Rd St
Attica, IN 47918-1147
Phone (765) 585-3337
Other providers in Covington, IN
- William Clinton Hawks Jr.
- Healthcare Centers of Indiana, LLC
- Hook-Superx LLC
- Hopewell Homestead, Inc
- Michael C Horvath
- Cody Knecht
- Jessica L Lewandowski
- Major Hospital
- Edward James Martin
- Dakota Miles
All providers in Covington, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 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.