Individual
RICHARD THOMAS SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
592 GIFFORD AVE, AMERICAN FALLS, ID 83211-1314
(208) 226-2476
(208) 226-2477
Mailing address
510 ROOSEVELT ST, P.O. BOX 420, AMERICAN FALLS, ID 83211-1362
(208) 226-3200
(208) 226-3206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-195
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-195
PT LICENSE
ID
Enumeration date
03/28/2008
Last updated
03/28/2008
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