Female

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

Specialist in Kennesaw, GA(View on Map)

Full Name

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

NPI Number

1114207164

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/23/2011

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Georgia

License Number

MT001419

Contact
Information

Purpose

Mailing
Location

Address

825 REGISTRY TER NW
825 REGISTRY TER NW

City

Kennesaw
Kennesaw

State

GA
GA

Postal Code

30152-2855
30152-2855

Country

US
US

Telephone Number

(770) 429-0208
(770) 429-0208

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/23/2011

Provider Address

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