Individual
MR. BRIAN JAMES DAUGHARTHY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
321 E MAIN, CHANUTE, KS 66720
(620) 431-0887
(620) 431-0816
Mailing address
PO BOX 623, 321 E MAIN, CHANUTE, KS 66720-0623
(620) 431-0887
(620) 431-0816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
502400
FIRST GUARD
—
Enumeration date
08/24/2005
Last updated
07/08/2007
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