Provider Demographics
NPI:1326384785
Name:MILLIETTE, JUDY CUTLER (PT)
Entity type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:CUTLER
Last Name:MILLIETTE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:CUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:112 SOUTH ELLIOTT
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2500
Mailing Address - Country:US
Mailing Address - Phone:509-663-7117
Mailing Address - Fax:509-662-9227
Practice Address - Street 1:112 SOUTH ELLIOTT
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2500
Practice Address - Country:US
Practice Address - Phone:509-663-7117
Practice Address - Fax:509-662-9227
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002753225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist