Provider Demographics
NPI:1881940492
Name:WOODHOUSE, DEBORAH L (RMT)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:WOODHOUSE
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7645 DAWNVIEW CT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-4556
Mailing Address - Country:US
Mailing Address - Phone:719-330-9929
Mailing Address - Fax:
Practice Address - Street 1:7645 DAWNVIEW CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-4556
Practice Address - Country:US
Practice Address - Phone:719-330-9929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0013729225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist