Debra Lynn Lutje, LMT, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

3393 Issued in OR

Practice address

1214 E 12TH St
The Dalles, OR 97058-3079

Phone

(541) 296-9303

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1023766698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583079",
            "telephone_number": "541-296-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583079",
            "telephone_number": "541-296-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTJE",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMT, CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "3393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBMT",
            "identifier": "3393",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "avalonbiossage@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1214 E 12th St",
            "city": "The Dalles",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970583079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stefanie Joy Lowe, DC, MS
• John R Lucero
• Joseph Lucia
• Sharon Marie Lucia
• Tim Lundgren
• Brian Christian Macarthur, M.D.
• Katrina Mace
• David A Mack, D.O.
• Dennis Keith Macnab, DMD
• David S Macnally, PA C

• Massage Therapist in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.