Provider Demographics
NPI:1497743892
Name:SUTTON, ANTHONY FARMER (ATC)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:FARMER
Last Name:SUTTON
Suffix:
Gender:M
Credentials:ATC
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Mailing Address - Street 1:C113 JOYCE CENTER
Mailing Address - Street 2:SPORTS MEDICINE
Mailing Address - City:NOTRE DAME
Mailing Address - State:IN
Mailing Address - Zip Code:46556
Mailing Address - Country:US
Mailing Address - Phone:574-631-3303
Mailing Address - Fax:574-631-3305
Practice Address - Street 1:2500 WARREN CARROLL DRIVE
Practice Address - Street 2:WEISIGER-BROWN ATHLETIC FACILITY
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27695-2769
Practice Address - Country:US
Practice Address - Phone:919-515-2111
Practice Address - Fax:919-513-0728
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2022-10-08
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Provider Licenses
StateLicense IDTaxonomies
NCLAT-40572255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer