Provider Demographics
NPI:1699910810
Name:SCHLUTER, CARMEN LYNN (LMP, CSCS, NSCA-CPT)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:LYNN
Last Name:SCHLUTER
Suffix:
Gender:F
Credentials:LMP, CSCS, NSCA-CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 E NORMA LEE AVE
Mailing Address - Street 2:
Mailing Address - City:MEDICAL LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99022-8848
Mailing Address - Country:US
Mailing Address - Phone:541-350-3928
Mailing Address - Fax:
Practice Address - Street 1:730 N HAMILTON ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2045
Practice Address - Country:US
Practice Address - Phone:541-350-3928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60242501225700000X
OR14903225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist