Wyatt, Sutherland
Wyatt, Sutherland is an individual health care provider with primary practice located at 754 N College Rd Ste D , Twin Falls ID 83301-5822. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wyatt, Sutherland can be contacted via phone (208) 734-5313.Contact Information
Primary practice address
754 N College Rd Ste D
Twin Falls ID 83301-5822
Phone: (208) 734-5313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT-7263 | Idaho |
Profile Details
| NPI number | 1649844358 |
|---|---|
| LBN Legal business name | Wyatt, Sutherland |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2021 |
| Last updated | May 17th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649844358 | NPPES |
| Idaho | MEDICAID | 1427029610 |
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