Doctor Name: | DR. RYAN BRADLEY DUTOT |
NPI Number: | 1124300868 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2578 |
Business Practice Address: | 9070 W Cheyenne Ave Ste 100 Las Vegas, NV - 891298935 |
Business Phone Number: | 7026558535 |
Business Fax Number: | 7026565863 |
Mailing Address: | 9070 W Cheyenne Ave Ste 100, LAS VEGAS |
State: | NV |
Postal Code: | 891298935 |
Phone Number: | 7026558535 |
Fax Number: | 7026565863 |
NPI Enumeration Date: | 09/19/2011 |
NPI Last Update Date: | 09/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |