Provider Demographics
NPI:1285885343
Name:TUTHILL, ERIN MARGARET (DPT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARGARET
Last Name:TUTHILL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MARGARET
Other - Last Name:WINGFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:6900 GEORGIA AVE NW
Mailing Address - Street 2:PHYSICAL THERAPY DEPT.
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20307-0003
Mailing Address - Country:US
Mailing Address - Phone:202-782-6371
Mailing Address - Fax:
Practice Address - Street 1:960 S BROADWAY AVE STE 200
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-3667
Practice Address - Country:US
Practice Address - Phone:208-433-9211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-2291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist