Individual
DENISE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 MALL BLVD STE D, DYERSBURG, TN 38024-1648
(901) 287-9710
Mailing address
741 WILEY NEELY RD, TROY, TN 38260-4207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1871
LICENSE #
TN
Enumeration date
08/23/2006
Last updated
07/08/2007
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