Individual
CORY SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
304 CHURCH ST, SWEETWATER, TN 37874-2823
(865) 213-8568
Mailing address
215 MCCASLIN AVE, SWEETWATER, TN 37874-1832
(423) 836-5140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000005064
TN
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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