Provider Demographics
NPI:1497911820
Name:LUTHRINGER, TAMMIE FLANAGAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:TAMMIE
Middle Name:FLANAGAN
Last Name:LUTHRINGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:TAMMIE
Other - Middle Name:FLANAGAN
Other - Last Name:HARRELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:3935 TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-3207
Mailing Address - Country:US
Mailing Address - Phone:903-255-6398
Mailing Address - Fax:888-972-7620
Practice Address - Street 1:3939 TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-3207
Practice Address - Country:US
Practice Address - Phone:903-255-6398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT1314225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist