Provider Demographics
NPI:1346491891
Name:SUTT, LINDA C (LMT, MTPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:C
Last Name:SUTT
Suffix:
Gender:F
Credentials:LMT, MTPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 W ASTOR CIR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8151
Mailing Address - Country:US
Mailing Address - Phone:954-818-7227
Mailing Address - Fax:561-496-5321
Practice Address - Street 1:183 W ASTOR CIR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8151
Practice Address - Country:US
Practice Address - Phone:954-818-7227
Practice Address - Fax:561-496-5321
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA35430174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist