Provider Demographics
NPI:1710868724
Name:TUTTLE, KALYN
Entity type:Individual
Prefix:
First Name:KALYN
Middle Name:
Last Name:TUTTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33836 HIGHWAY 2
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52626-8080
Mailing Address - Country:US
Mailing Address - Phone:319-371-1808
Mailing Address - Fax:
Practice Address - Street 1:33836 HIGHWAY 2
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:IA
Practice Address - Zip Code:52626-8080
Practice Address - Country:US
Practice Address - Phone:319-371-1808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer