Provider Demographics
NPI:1720012164
Name:DEATON, DARIN L (DPT)
Entity Type:Individual
Prefix:DR
First Name:DARIN
Middle Name:L
Last Name:DEATON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 W WASHINGTON ST STE 74A
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-3734
Mailing Address - Country:US
Mailing Address - Phone:254-431-5100
Mailing Address - Fax:254-459-4862
Practice Address - Street 1:2900 W WASHINGTON ST STE 74A
Practice Address - Street 2:
Practice Address - City:STEPHENVILLE
Practice Address - State:TX
Practice Address - Zip Code:76401-3734
Practice Address - Country:US
Practice Address - Phone:254-431-5100
Practice Address - Fax:254-459-4862
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1064947225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D1820Medicare ID - Type Unspecified
TX8D3023Medicare ID - Type Unspecified
TX8D2003Medicare ID - Type Unspecified