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Individual
SCOTT J LUTTENEGGER
Active
Individual
SCOTT J LUTTENEGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039585
LABOR AND INDUSTRIES #
WA
05
—
8345142
—
WA
01
—
LU2241
BLUE SHIELD #
WA
01
—
P0029330
RAILROAD MC#
WA
05
—
PT002WA
—
AK
01
—
US1051842
AETNA SPECIALIST PIN
WA
Enumeration date
01/18/2007
Last updated
12/10/2009
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