Individual
ETHAN ALEXANDER SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
589 TRIMBLE LN, DURANGO, CO 81301-7101
(970) 259-2547
Mailing address
589 TRIMBLE LN, DURANGO, CO 81301-7101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0015448
CO
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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