Individual
DR. RETHA MARY DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
106 S MAPLE ST, PLAINVIEW, NE 68769-4124
(402) 582-4901
(402) 582-3901
Mailing address
106 S MAPLE ST, STE 100, PLAINVIEW, NE 68769-4154
(402) 582-4901
(402) 582-3901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1483
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025575800
—
NE
Enumeration date
11/01/2007
Last updated
03/30/2020
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