Individual
MS. DEBRA LYNN LUTJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CMT
Contact information
Practice address
1214 E 12TH ST, THE DALLES, OR 97058-3079
(541) 296-9303
Mailing address
1214 E 12TH ST, THE DALLES, OR 97058-3079
(541) 296-9303
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3393
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3393
OBMT
OR
Enumeration date
03/14/2022
Last updated
03/14/2022
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