Provider Demographics
NPI:1609212216
Name:SUTTON, DAVID BRYAN (DPT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRYAN
Last Name:SUTTON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 OAK RIDGE RD STE FF
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-8738
Mailing Address - Country:US
Mailing Address - Phone:336-644-0201
Mailing Address - Fax:336-644-0501
Practice Address - Street 1:2205 OAK RIDGE RD STE FF
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NC
Practice Address - Zip Code:27310-8738
Practice Address - Country:US
Practice Address - Phone:336-644-0201
Practice Address - Fax:336-644-0501
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP141072251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic