Provider Demographics
NPI:1225190481
Name:CUTTER, ROBERT JAMES (LAC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JAMES
Last Name:CUTTER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 MONTE DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93110-2143
Mailing Address - Country:US
Mailing Address - Phone:805-698-0610
Mailing Address - Fax:805-456-0452
Practice Address - Street 1:924 ANACAPA ST
Practice Address - Street 2:SUITE 3 - I
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2115
Practice Address - Country:US
Practice Address - Phone:805-698-0610
Practice Address - Fax:805-456-0452
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 10933171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist