Provider Demographics
NPI:1508592700
Name:RUTTI, EMILY (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:RUTTI
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 W CLYDE PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2721
Mailing Address - Country:US
Mailing Address - Phone:720-654-2145
Mailing Address - Fax:
Practice Address - Street 1:3130 W CLYDE PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2721
Practice Address - Country:US
Practice Address - Phone:720-654-2145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0014198225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist