Individual
DUSTIN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
149 N GIBSON RD STE H, HENDERSON, NV 89014-6763
(702) 558-6275
(702) 856-3198
Mailing address
149 N GIBSON RD STE H, HENDERSON, NV 89014-6763
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-07708
KS
225100000X
Physical Therapist
Primary
6665
NV
Other
Enumeration date
08/21/2024
Last updated
07/21/2025
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