Kaitlin Jenice Tuttle
Physical Therapist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1164071023
StatusActive
Last updated in NPPESMar 2, 2023
Details
- NPI
- 1164071023
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Jenice Tuttle
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2019
- Certification date
- Mar 2, 2023
- Last updated
- Mar 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 30836 | AZ | Yes |
| 225100000X | Physical Therapist | 10459 | LA |
Practice location
717 W Dunlap AvePhoenix, AZ 85021-3521
Phone 602-944-2146
Mailing address
107 Ashford Dr Apt 1124West Monroe, LA 71291-7849
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