Organization
GUYMON PHYSICAL THERAPY AND WELLNESS PLLC
Active
Organization
GUYMON PHYSICAL THERAPY AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB LEE TUTTLE PT (OWNER/PHYSICAL THERAPIST)
(918) 223-5075
Entity
Organization
Contact information
Practice address
211 NW 5TH ST, GUYMON, OK 73942-5801
(580) 338-4789
(866) 999-0184
Mailing address
211 NW 5TH ST, GUYMON, OK 73942-5801
(580) 338-4789
(866) 999-0184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
1929
OK
261QP2000X
Physical Therapy Clinic/Center
Primary
3766
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12413288
CAQH
OK
05
—
200459990A
—
OK
Enumeration date
06/22/2012
Last updated
10/22/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up