Individual
KAITLIN JENICE TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 W DUNLAP AVE, PHOENIX, AZ 85021-3521
(602) 944-2146
Mailing address
107 ASHFORD DR APT 1124, WEST MONROE, LA 71291-7849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10459
LA
225100000X
Physical Therapist
Primary
30836
AZ
Other
Enumeration date
09/04/2019
Last updated
03/02/2023
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