Individual
JOHN DALLAS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5171 CUB LAKE RD, SUITE C- 360, SHOW LOW, AZ 85901-7888
(928) 537-0248
(928) 537-0248
Mailing address
5171 CUB LAKE RD, SUITE C- 360, SHOW LOW, AZ 85901-7888
(928) 537-0248
(928) 537-0248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7781
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7781
PHYSICAL THERAPY LICENSE #:
AZ
Enumeration date
05/05/2008
Last updated
05/05/2008
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