Richard A Doughty

Individual provider Active NPI Physical Therapy Assistant · Hollidaysburg, PA

NPI 1396214904 · NPPES record last updated Nov 13, 2018

Key facts

NPI
1396214904
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
220 Newry St
Hollidaysburg, PA 16648-1626
Phone
(814) 693-4000
NPI assigned
Nov 13, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

220 Newry St
Hollidaysburg, PA 16648-1626

Mailing address

1201 N Juniata St Apt 3
Hollidaysburg, PA 16648-1151
Phone (814) 312-3330

Other providers in Hollidaysburg, PA

All providers in Hollidaysburg, PA · Physical Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.