Provider Demographics
NPI:1881912343
Name:GUTTMAN, JOHN (MS, ATC, PES, CES)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:GUTTMAN
Suffix:
Gender:M
Credentials:MS, ATC, PES, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N1738 HYACINTH LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54942-9005
Mailing Address - Country:US
Mailing Address - Phone:612-859-6982
Mailing Address - Fax:
Practice Address - Street 1:N1738 HYACINTH LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:WI
Practice Address - Zip Code:54942-9005
Practice Address - Country:US
Practice Address - Phone:612-859-6982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-08
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer