Provider Demographics
NPI:1194972307
Name:CUTTER, DEBORAH MARIE (LMP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MARIE
Last Name:CUTTER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 91ST AVE NE STE G701
Mailing Address - Street 2:PMB 221
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-2539
Mailing Address - Country:US
Mailing Address - Phone:425-446-1276
Mailing Address - Fax:425-397-7589
Practice Address - Street 1:12511 44TH ST NE
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-9586
Practice Address - Country:US
Practice Address - Phone:425-446-1276
Practice Address - Fax:425-397-7589
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60035104225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist