Provider Demographics
NPI:1386814002
Name:QUIGLEY, DONNA DALE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:DALE
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 LUPINE CIR
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-8461
Mailing Address - Country:US
Mailing Address - Phone:970-247-2683
Mailing Address - Fax:
Practice Address - Street 1:67 LUPINE CIR
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-8461
Practice Address - Country:US
Practice Address - Phone:970-247-2683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3496225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist