Provider Demographics
NPI:1891705984
Name:TUTTLE, PAULA (PT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:TUTTLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4725 WHITESBURG DR S
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1665
Mailing Address - Country:US
Mailing Address - Phone:256-880-7776
Mailing Address - Fax:256-880-7708
Practice Address - Street 1:4725 WHITESBURG DR S
Practice Address - Street 2:SUITE 201
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1665
Practice Address - Country:US
Practice Address - Phone:256-880-7776
Practice Address - Fax:256-880-7708
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5191225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist