Provider Demographics
NPI:1952578122
Name:TUITE, TERENCE C (MPT)
Entity Type:Individual
Prefix:
First Name:TERENCE
Middle Name:C
Last Name:TUITE
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:C
Other - Last Name:TUITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPT
Mailing Address - Street 1:3142 CINDY AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-4916
Mailing Address - Country:US
Mailing Address - Phone:559-294-1573
Mailing Address - Fax:
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34321225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist