Doctor Name: | MARK R DUTTON |
NPI Number: | 1265433601 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 00007051 |
Business Practice Address: | 21 Ne Romance Hill Rd Ste 101 Belfair, WA - 985280457 |
Business Phone Number: | 3602756612 |
Business Fax Number: | 3602756658 |
Mailing Address: | Po Box 457, 21 Ne Romance Hill Rd Ste 101 BELFAIR |
State: | WA |
Postal Code: | 985289626 |
Phone Number: | 3602756612 |
Fax Number: | 3602756658 |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 06/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00007051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |