Individual
KADEN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
217 N 2ND E, REXBURG, ID 83440-1621
(208) 359-6127
Mailing address
217 N 2ND E, REXBURG, ID 83440-1621
(208) 359-6127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-8704
ID
Other
Enumeration date
05/08/2023
Last updated
12/19/2025
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