Doctor Name: | DARCY DEAN NORMAN |
NPI Number: | 1053638023 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, ATC, CSCS |
License Number: | 29369 |
Business Practice Address: | 10038 Meadow Way Suite E Truckee, CA - 96161 |
Business Phone Number: | 5305500400 |
Business Fax Number: | |
Mailing Address: | Po Box 3626, TRUCKEE |
State: | CA |
Postal Code: | 96160 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/29/2010 |
NPI Last Update Date: | 04/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 29369 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |