MEDICARE: ANNA STUTZ DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	LPT009466	AZ

General Provider Information

NPI Number	:	1811275183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA STUTZ DPT

Provider Business Mailing Address
First Line	:	408 HIGUERA ST STE 200
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-6135
Country	:	US
Telephone Number	:	805-788-0805
Fax Number	:	805-788-0845

Provider Business Practice Location Address
First Line	:	2560 E FORT LOWELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1514
Country	:	US
Telephone Number	:	520-323-9086
Fax Number	:	520-323-6364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2011
Last Update Date	:	05/28/2026

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