Provider Demographics
NPI:1073838934
Name:SUTCLIFFE, MAUREEN (LMP, CMT)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:SUTCLIFFE
Suffix:
Gender:F
Credentials:LMP, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20612 23RD AVE W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7801
Mailing Address - Country:US
Mailing Address - Phone:425-954-7006
Mailing Address - Fax:
Practice Address - Street 1:20612 23RD AVE W
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-7801
Practice Address - Country:US
Practice Address - Phone:425-954-7006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist