Individual
MICHAEL CUTHBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
3456 E 17TH ST STE 130, AMMON, ID 83406-6777
(208) 523-0030
(208) 523-3828
Mailing address
2640 CHANNING WAY, IDAHO FALLS, ID 83404-7517
(208) 523-0030
(208) 523-3828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT - 4488
ID
Other
Enumeration date
05/13/2016
Last updated
11/22/2016
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