Individual
MRS. EMILY MICHELLE SUTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
2436 E IRWIN WAY, EUGENE, OR 97402-1119
(541) 968-0015
Mailing address
PO BOX 1083, VENETA, OR 97487-1083
(541) 968-0015
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
13829
OR
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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