Provider Demographics
NPI:1184127375
Name:TUTTLE, JULIA ANN (ATC, CSCS)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ANN
Last Name:TUTTLE
Suffix:
Gender:F
Credentials:ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF NEBRASKA ATHLETIC MEDICINE
Mailing Address - Street 2:ONE MEMORIAL STADIUM
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68588
Mailing Address - Country:US
Mailing Address - Phone:402-472-2276
Mailing Address - Fax:402-472-2006
Practice Address - Street 1:UNIVERSITY OF NEBRASKA ATHLETIC MEDICINE
Practice Address - Street 2:ONE MEMORIAL STADIUM
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68588
Practice Address - Country:US
Practice Address - Phone:402-472-2276
Practice Address - Fax:402-472-2006
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4262081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine