Provider Demographics
NPI:1427393305
Name:ABLUTON, MERCEDES M (MS PT)
Entity type:Individual
Prefix:
First Name:MERCEDES
Middle Name:M
Last Name:ABLUTON
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8545 CARMEL VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-9556
Mailing Address - Country:US
Mailing Address - Phone:831-659-5435
Mailing Address - Fax:
Practice Address - Street 1:8545 CARMEL VALLEY RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-9556
Practice Address - Country:US
Practice Address - Phone:831-624-1281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15304225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist