Provider Demographics
NPI:1356374870
Name:ZAIMES, CRISTIN TUTHILL (DPT)
Entity type:Individual
Prefix:
First Name:CRISTIN
Middle Name:TUTHILL
Last Name:ZAIMES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CRISTIN
Other - Middle Name:ANNE
Other - Last Name:TUTHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:51 WEBB PL STE 320
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2463
Mailing Address - Country:US
Mailing Address - Phone:603-686-2617
Mailing Address - Fax:603-580-4495
Practice Address - Street 1:51 WEBB PL STE 320
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2463
Practice Address - Country:US
Practice Address - Phone:603-580-4494
Practice Address - Fax:603-580-4495
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3195225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0708526Medicaid
NHY6969301Medicare PIN