Provider Demographics
NPI:1407290661
Name:NUTT, WILLIAM II (DPT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:NUTT
Suffix:II
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9708 COLT DR
Mailing Address - Street 2:
Mailing Address - City:BAHAMA
Mailing Address - State:NC
Mailing Address - Zip Code:27503-9699
Mailing Address - Country:US
Mailing Address - Phone:740-605-6881
Mailing Address - Fax:
Practice Address - Street 1:2609 N DUKE ST STE 203
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3048
Practice Address - Country:US
Practice Address - Phone:919-220-6532
Practice Address - Fax:919-220-4572
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP14134225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist