Individual
DOUGLAS K HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., P.T.
Contact information
Practice address
803 HACIENDA LN, BLOOMFIELD, NM 87413-5109
(505) 632-1823
Mailing address
1170 PITCHER CANYON ROAD, WENATCHEE, WA 98801
(509) 663-6254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2024-0319
NM
225100000X
Physical Therapist
PT00003821
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7052665
—
WA
Enumeration date
03/16/2007
Last updated
01/14/2025
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