Provider Demographics
NPI:1447131123
Name:LUTHMAN, TYLER
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:
Last Name:LUTHMAN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 STONECROSS LN
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-1683
Mailing Address - Country:US
Mailing Address - Phone:937-653-5291
Mailing Address - Fax:937-653-3885
Practice Address - Street 1:2380 S US HIGHWAY 68
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-9470
Practice Address - Country:US
Practice Address - Phone:937-653-5291
Practice Address - Fax:937-653-3885
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH015035225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist