Doctor Name: | MR. ROBERT L DOUGHER |
NPI Number: | 1669458220 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 5165580-2401 |
Business Practice Address: | 3665 S 8400 W Suite 210 Magna, UT - 840442214 |
Business Phone Number: | 8012506733 |
Business Fax Number: | 8012505038 |
Mailing Address: | 3665 S 8400 W, Suite 210 MAGNA |
State: | UT |
Postal Code: | 840442214 |
Phone Number: | 8012506733 |
Fax Number: | 8012505038 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5165580-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |