Individual
DEBORA TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
67 N VISTA VALLE DR, TIJERAS, NM 87059-7802
(505) 286-1033
Mailing address
67 N VISTA VALLE DR, TIJERAS, NM 87059-7802
(505) 286-1033
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
3862
NM
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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