Individual
JACOB LEE TUTTLE
Active
Individual
JACOB LEE TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1104337
KS
225100000X
Physical Therapist
Primary
3766
OK
225100000X
Physical Therapist
8820
CO
Other
Enumeration date
04/06/2007
Last updated
08/08/2012
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