Individual
MICHAEL SUNDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 8TH ST, RUPERT, ID 83350-1306
(208) 654-1444
(208) 643-4168
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
(208) 654-1444
(208) 643-4168
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8116
ID
Other
Enumeration date
06/14/2022
Last updated
07/12/2023
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