IndividualActive
Eric Cutlip, PTA
NPI 1073071692 · Physical Therapy Assistant · Genesee, ID
Provider details
- NPI number
- 1073071692
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA-4609 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
104 W Ash St
Genesee, ID 83832-8709
Phone: (208) 874-2716
Approximate (ZIP-level) locationGet directions
Mailing address
104 W Ash St
Genesee, ID 83832-8709
Registry dates
- Enumerated
- 2019-03-04
- Last updated
- 2019-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.