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1134575772
MICHAEL CUTHBERTSON
AMMON, ID
NPI
1134575772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT - 4488)
Enumeration Date
2016-05-13
Last Update Date
2016-11-22
Business Address
-- MICHAEL CUTHBERTSON D.P.T.
3456 E 17TH ST STE 130
AMMON, ID 83406-6777
Phone number: 208-523-0030
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Mailing Address
-- MICHAEL CUTHBERTSON D.P.T.
2640 CHANNING WAY
IDAHO FALLS, ID 83404-7517
Phone number: 208-523-0030
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