Anderson, Dusty

Anderson, Dusty is an individual health care provider with primary practice located at 6151 County Road 124 , Mckinney TX 75071-4837. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Anderson, Dusty can be contacted via phone (972) 645-1833.

Contact Information

Primary practice address
6151 County Road 124 Mckinney TX 75071-4837
Phone: (972) 645-1833
Fax: (972) 645-1834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2062098 Texas

Profile Details

NPI number 1790327369
LBN Legal business name Anderson, Dusty
Credentials PTA, CSCS, BMS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2019
Last updated Dec 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790327369 NPPES
Texas Other 2062098 PROFESSIONAL LICENSE

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