Individual
ELISHIA KAY SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 STEWART RD, MONROE, MI 48162-5304
(734) 240-1820
Mailing address
1421 N NISSEN RD, MARTIN, OH 43445-9714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016579
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417460361
—
MI
Enumeration date
11/14/2017
Last updated
12/04/2018
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