| Doctor Name: | RICHARD DEAN MARSHALL |
| NPI Number: | 1730129040 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 16456 |
| Business Practice Address: | 1208 Everitt Memorial Hwy Mount Shasta, CA - 960679758 |
| Business Phone Number: | 5309261290 |
| Business Fax Number: | 5309261248 |
| Mailing Address: | 1441 Deetz Rd, MOUNT SHASTA |
| State: | CA |
| Postal Code: | 960679150 |
| Phone Number: | 5309264534 |
| Fax Number: | 5309261248 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 16456 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |