Provider Demographics
NPI:1508137373
Name:GUTIERREZ, DEBRA J (CRTT-RCP)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:J
Last Name:GUTIERREZ
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Gender:F
Credentials:CRTT-RCP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2585 MIRACLE MILE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86442-7522
Mailing Address - Country:US
Mailing Address - Phone:928-444-8168
Mailing Address - Fax:928-444-8169
Practice Address - Street 1:2585 MIRACLE MILE
Practice Address - Street 2:SUITE 107
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-7522
Practice Address - Country:US
Practice Address - Phone:928-444-8168
Practice Address - Fax:928-444-8169
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ71902278G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral Care