MEDICARE: STILL WATERS WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	106H00000X	Marriage & Family Therapist
2	103TC0700X	Clinical Psychologist
3	101YM0800X	Mental Health Counselor
4	103T00000X	Psychologist
5	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1265389373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STILL WATERS WELLNESS LLC

Provider Business Mailing Address
First Line	:	10003 N DIVISION ST STE 205
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1386
Country	:	US
Telephone Number	:	509-991-4080
Fax Number	:

Provider Business Practice Location Address
First Line	:	10003 N DIVISION ST STE 205
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1386
Country	:	US
Telephone Number	:	509-991-4080
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER/ MEMBER
Name	:	DR. THOMAS E CUTTING
Credential	:	PSYD
Telephone Number	:	509-437-0688

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	06/06/2026

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