MACKENNA LUTTRELL LMP
NPI 1396153540
Specialist in Vancouver, WA

Active since July 31, 2014
13025 NE FOURTH PLAIN BLVD, SUITE 102, VANCOUVER, WA 98682(360) 718-8240(360) 718-8241 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenna Luttrell Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENNA LUTTRELL LMP (NPI 1396153540) is an individual specialist in Vancouver, Washington, licensed in Washington (MA60486817) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1396153540
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMACKENNA LUTTRELLCredential: LMP
Location Address13025 NE FOURTH PLAIN BLVD, SUITE 102Vancouver, WA 98682
Mailing Address956 14th StWashougal, WA 98671 · (360) 909-1173
Fax(360) 718-8241
Sole ProprietorYes
Enumeration DateJuly 31, 2014
NPI 1396153540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · MA60486817
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
13025 NE FOURTH PLAIN BLVD, Vancouver, WA 98682

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Mechanotherapist
13025 NE FOURTH PLAIN BLVD, SUITE 102
VANCOUVER, WA 98682
Specialist
13025 NE FOURTH PLAIN BLVD, SUITE 102
VANCOUVER, WA 98682
Massage Therapist
13025 NE FOURTH PLAIN BLVD, SUITE 102
VANCOUVER, WA 98682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenna Luttrell's NPI number?

The NPI number for Mackenna Luttrell is 1396153540. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Where is Mackenna Luttrell located?

Mackenna Luttrell practices at 13025 NE Fourth Plain Blvd Suite 102, Vancouver, WA 98682. The listed phone number is (360) 718-8240.

What is Mackenna Luttrell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mackenna Luttrell was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.