Individual provider · Type 1 NPI

Katherine Dezutter, PA-C

Medical Physician Assistant · Springfield, MA

NPI number 1578089769 Active

Practice location

819 Worcester St Ste 1
Springfield, MA 01151-1056

Fax (413) 789-0290

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist 222Q00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPA7967 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1578089769

Katherine Dezutter, PA-C's National Provider Identifier is 1578089769, issued on Aug 18, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MA. The record was last updated on Oct 28, 2021.