Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1175929 | TX |
N | 225100000X | Physical Therapist | 29577 | CA |
N | 2251N0400X | Physical Therapist - Neurology | 1175929 | TX |
N | 2251N0400X | Physical Therapist - Neurology | 29577 | CA |
Y | 2251S0007X | Physical Therapist - Sports | 1175929 | TX |
N | 2251S0007X | Physical Therapist - Sports | 29577 | CA |
N | 2251X0800X | Physical Therapist - Orthopedic | 1175929 | TX |
N | 2251X0800X | Physical Therapist - Orthopedic | 29577 | CA |
NPI | 1508912791 |
---|---|
Provider Name | Dr. Thomas Lee Sutton |
First Address | Spring, TX 77380-3021 |
Second Address | Spring, TX 77386 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2007 |
Last Update Date | 11/12/2007 |