MS. Mary D Hutton, L.M.T., N.C.T.M.

NPI #1114207164 in Kennesaw, Georgia

Provider Information

NPI Number: 1114207164
Entity Type: Individual
Name: MS. Mary D Hutton, L.M.T., N.C.T.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: L.M.T., N.C.T.M.
Enumeration Date: Aug 23, 2011
Last Updated: Aug 23, 2011

Practice Location

Address: 825 REGISTRY TER NW
City: Kennesaw
State: Georgia
ZIP Code: 30152-2855
Phone: (770) 429-0208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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