Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Corwin Sutherin

Individual provider Occupational Therapist · NPI 1104035120

Mr. Corwin Sutherin is an Occupational Therapist in Shelley, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

1452 N 1180 E
Shelley, ID 83274-5100
Phone: (208) 282-2590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT-253 (ID)

Record details

NPI number1104035120
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1452 N 1180 E, Shelley, ID 83274-5100