Provider Demographics
NPI:1023146172
Name:HUTCHINSON, LYNN AHLIN (PT)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:AHLIN
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:BETTE-ANN
Other - Last Name:AHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:200 WINSLOW WAY W UNIT 200
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-4930
Mailing Address - Country:US
Mailing Address - Phone:206-855-8455
Mailing Address - Fax:206-855-8465
Practice Address - Street 1:200 WINSLOW WAY W UNIT 200
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-4930
Practice Address - Country:US
Practice Address - Phone:206-855-8455
Practice Address - Fax:206-855-8465
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00000624225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8450819Medicaid
WA8450819Medicaid