Individual
DOUGLAS WILLIAM DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2430 N 13TH ST, SHELTON, WA 98584-1213
(360) 426-1651
Mailing address
6411 S SPRINGVIEW ST, SPOKANE, WA 99224-8814
(509) 979-2900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00006439
WA
225100000X
Physical Therapist
RPT1028
ID
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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