Provider Demographics
NPI:1740836204
Name:TUTTLE, CATHY JOHANNA
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:JOHANNA
Last Name:TUTTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 WILLIAMSPORT PIKE
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9742
Mailing Address - Country:US
Mailing Address - Phone:740-703-5238
Mailing Address - Fax:
Practice Address - Street 1:9100 WILLIAMSPORT PIKE
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9742
Practice Address - Country:US
Practice Address - Phone:740-703-5238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider