Provider Demographics
NPI:1346451143
Name:SUTTON, PARTRICIA (LMT)
Entity Type:Individual
Prefix:MRS
First Name:PARTRICIA
Middle Name:
Last Name:SUTTON
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 SE 45TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-7220
Mailing Address - Country:US
Mailing Address - Phone:352-427-2359
Mailing Address - Fax:
Practice Address - Street 1:1920 SW 20TH PL
Practice Address - Street 2:SUITE 202
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7170
Practice Address - Country:US
Practice Address - Phone:352-694-4503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0022645225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist