Individual
JULIE TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2138 25TH ST STE F, COLUMBUS, IN 47201-3241
(812) 376-3100
(812) 378-6191
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
(812) 375-3477
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01057718
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200496390
—
IN
Enumeration date
03/23/2006
Last updated
05/08/2024
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