Provider Demographics
NPI:1841964038
Name:RECCHIUTI, DEBBY LOUMAE (LMT)
Entity type:Individual
Prefix:
First Name:DEBBY
Middle Name:LOUMAE
Last Name:RECCHIUTI
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 1:1116 BRAKEN AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4380
Mailing Address - Country:US
Mailing Address - Phone:302-740-3305
Mailing Address - Fax:
Practice Address - Street 1:1116 BRAKEN AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4380
Practice Address - Country:US
Practice Address - Phone:302-740-3305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000101225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist