Thuthapuzha River is one of the main tributaries of the Bharathapuzha River, the second-longest river in Kerala, south India. Kunthipuzha that flows through the Silent Valley is one of its tributaries. Elamkulam, Thiruvegappura and Pulamanthole are places of importance situated on the bank of this river.This narashimha moorthy temple is very near to thootha.From perinthalmanna it takes abt 16 kms to this temple.From perinthalmanna --(go thru cherpelssery Route)--anamangad---Thootha.From thootha Junction go left ..You have to drive 1.2-1.5 kms .Narashimha moorthy Temple.