Shawn Tuthill, MSPT
Individual provider Active NPI Physical Therapist · Granby, CT
NPI 1801918669 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801918669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 007610 (CT)
- Practice address
- 97 Salmon Brook St
Granby, CT 06035-2607 - Phone
- (860) 844-8912
- Fax
- (860) 653-6395
- NPI assigned
- Apr 4, 2007
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007610 | CT | MD | Pharmacist |
| 7610 | CT | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007610 | CT | Yes |
Addresses
Primary practice location
97 Salmon Brook St
Granby, CT 06035-2607
Mailing address
97 Salmon Brook St
Granby, CT 06035-2607
Phone (860) 844-8912
Other providers in Granby, CT
- Amanda Dawn Stenhouse
- Vincent Hoyt Steniger
- Joanne Marie Stevens
- Elaine Stuart-Thoms
- The Stop & Shop Supermarket Company LLC
- Michele Twigg
- Michael A Ungerleider
- Barry F Walsh
- Mary K Wimpfheimer
All providers in Granby, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.