Individual
BRETT DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-9098
(253) 968-1518
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8017667-2401
UT
Other
Enumeration date
10/19/2011
Last updated
05/06/2024
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