Jessica Leigh Hutzul, ATC, LAT, MEd
Specialist/Technologist, Athletic Trainer in Smiths Station, AL. Individual provider (NPI-1).
NPI number1669989612
StatusActive
Last updated in NPPESDec 29, 2017
Details
- NPI
- 1669989612
- Entity type
- Individual (NPI-1)
- Name
- Jessica Leigh Hutzul
- Credential
- ATC, LAT, MEd
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2017
- Last updated
- Dec 29, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 1367 | AL | Yes |
Practice location
98 Lee Road 2148Smiths Station, AL 36877-2123
Phone 910-987-0511
Mailing address
98 Lee Road 2148Smiths Station, AL 36877-2123
Phone 910-987-0511
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