MICHAEL SUNDERLAND

RUPERT, ID
NPI1699405472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-8116)
Enumeration Date2022-06-14
Last Update Date2023-07-12
Business Address
MICHAEL SUNDERLAND
1024 8TH ST
RUPERT, ID 83350-1306
Phone number: 208-654-1444
Mailing Address
MICHAEL SUNDERLAND
1411 FALLS AVE E STE 401
TWIN FALLS, ID 83301-3455
Phone number: 208-654-1444