Provider Demographics
NPI:1780992792
Name:SUTTOR, EMILY M (DPT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:M
Last Name:SUTTOR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-4448
Mailing Address - Country:US
Mailing Address - Phone:502-227-3186
Mailing Address - Fax:502-227-3188
Practice Address - Street 1:111 WESTRIDGE DR
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4448
Practice Address - Country:US
Practice Address - Phone:502-227-3186
Practice Address - Fax:502-227-3188
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8587225100000X
KY006206225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist