Thomas Cutlip
Individual provider Active NPI Physical Therapy Assistant · Winslow, AZ
NPI 1689910952 · NPPES record last updated Dec 14, 2012
Key facts
- NPI
- 1689910952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0259A (AZ)
- Practice address
- 826 W Desmond St
Winslow, AZ 86047-2321 - Phone
- (928) 289-4678
- NPI assigned
- Dec 14, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0259A | AZ | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0259A | AZ | Yes |
Addresses
Primary practice location
826 W Desmond St
Winslow, AZ 86047-2321
Mailing address
6150 E Peaks Pkwy
Flagstaff, AZ 86004-5526
Other providers in Winslow, AZ
- Community Counseling Centers, Inc
- Kerry Lynn Cordier
- Stephanie M Crihfield
- Christina Curley
- Debra J Curley
- Sherri Ann Davis
- Ralph E Day
- John Deangelis
- Barbara Ann Debethizy
- Decker Chiropractic, P.C.
All providers in Winslow, AZ · Physical Therapy Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.