Provider Demographics
NPI:1083636955
Name:CUTRELL, JAMES PHILIP (LMT, BCMT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PHILIP
Last Name:CUTRELL
Suffix:
Gender:M
Credentials:LMT, BCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20211 WOODCREST ST
Mailing Address - Street 2:
Mailing Address - City:HARPER WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48225-2025
Mailing Address - Country:US
Mailing Address - Phone:248-854-6068
Mailing Address - Fax:888-731-1295
Practice Address - Street 1:20211 WOODCREST ST
Practice Address - Street 2:
Practice Address - City:HARPER WOODS
Practice Address - State:MI
Practice Address - Zip Code:48225-2025
Practice Address - Country:US
Practice Address - Phone:248-854-6068
Practice Address - Fax:888-731-1295
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist