Provider Demographics
NPI:1700684628
Name:SUTTON -G, DEOTTA (E-RYT)
Entity type:Individual
Prefix:
First Name:DEOTTA
Middle Name:
Last Name:SUTTON -G
Suffix:
Gender:F
Credentials:E-RYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9445 TREYBURN LAKES DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-6854
Mailing Address - Country:US
Mailing Address - Phone:317-654-3838
Mailing Address - Fax:
Practice Address - Street 1:9445 TREYBURN LAKES DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-6854
Practice Address - Country:US
Practice Address - Phone:317-654-3838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator