Provider Demographics
NPI:1932689387
Name:ROMERO, DEBBIE RUTH (CMT)
Entity Type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:RUTH
Last Name:ROMERO
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15655 WHITETAIL LANE
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701
Mailing Address - Country:US
Mailing Address - Phone:540-718-4083
Mailing Address - Fax:
Practice Address - Street 1:GAINESVILLE HOLISTIC HEALTH CENTER
Practice Address - Street 2:8006 CRESCENT PARK DRIVE
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155
Practice Address - Country:US
Practice Address - Phone:571-248-0695
Practice Address - Fax:571-248-0964
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist