Individual
CLINT JAMES LUTTERMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
610 10TH ST, PERRY, IA 50220
(515) 465-7672
(515) 465-7655
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03260
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03757
BCBS INDIANA
—
01
—
42610
GR MADRID
—
01
—
42611
BCBS ALT
—
Enumeration date
04/26/2006
Last updated
07/08/2007
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