IndividualActive
Jacob Tuttle, PT
NPI 1619099942 · Physical Therapist · Guymon, OK
Provider details
- NPI number
- 1619099942
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3766 (OK)
Practice location
302 Northridge Circle
Guymon, OK 73942-5801
Phone: (580) 338-4789
Fax: (866) 999-0184
Mailing address
302 Northridge Circle
Guymon, OK 73942-5801
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2012-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.