Davis, John Dallas

Davis, John Dallas is an individual health care provider with primary practice located at 5171 Cub Lake Rd Suite C- 360, Show Low AZ 85901-7888. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Davis, John Dallas can be contacted via phone (928) 537-0248.

Contact Information

Primary practice address
5171 Cub Lake Rd Suite C- 360 Show Low AZ 85901-7888
Phone: (928) 537-0248
Fax: (928) 537-0248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7781 Arizona

Profile Details

NPI number 1881860252
LBN Legal business name Davis, John Dallas
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated May 5th, 2008 - about 16 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 1881860252 NPPES
Arizona Other 7781 PHYSICAL THERAPY LICENSE #:

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