| Jacob Lee Tuttle, PT | |
|
302 Northridge Circle, Guymon, OK 73942-5801 | |
| (580) 338-4789 | |
| (866) 999-0184 |
| Full Name | Jacob Lee Tuttle |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 302 Northridge Circle, Guymon, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619099942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3766 (Oklahoma) | Primary |
| 225100000X | Physical Therapist | 8820 (Colorado) | Secondary |
| 225100000X | Physical Therapist | 1104337 (Kansas) | Secondary |
| Provider Name | Guymon Physical Therapy And Wellness Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790048882 PECOS PAC ID: 2264698810 Enrollment ID: O20120725000819 |
| Provider Name | Southwest Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144493040 PECOS PAC ID: 7517941651 Enrollment ID: O20180403000992 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Lee Tuttle, PT 302 Northridge Circle, Guymon, OK 73942-5801 Ph: (580) 338-4789 | Jacob Lee Tuttle, PT 302 Northridge Circle, Guymon, OK 73942-5801 Ph: (580) 338-4789 |
Kyrie A Mckee, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 211 Nw 5th St, Guymon, OK 73942 Phone: 580-338-4789 | |
Elite Therapy Groups Of Texas County, L.l.c Physical Therapist Medicare: Medicare Enrolled Practice Location: 1311 N Main St, Guymon, OK 73942 Phone: 580-338-4676 Fax: 580-338-4686 | |
Rachel Inez Jones, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Rr 1 Box 96, Guymon, OK 73942 Phone: 580-522-1245 | |
Guymon Public Schools Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 N Beaver St, Guymon, OK 73942 Phone: 580-338-4340 Fax: 580-338-3812 | |
Mrs. Kristi L. Cooper-johnson, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Medical Dr, Guymon, OK 73942 Phone: 580-338-4676 Fax: 580-338-4686 | |
Mr. Eric G Johnson, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1311 N Main St, Guymon, OK 73942 Phone: 580-338-4676 Fax: 580-338-4686 |