Provider Demographics
NPI:1861685174
Name:DAUGHERTY, JOSHUA STEVEN (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:STEVEN
Last Name:DAUGHERTY
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 1:9621 WOODROW WILSON DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8431
Mailing Address - Country:US
Mailing Address - Phone:214-592-9748
Mailing Address - Fax:
Practice Address - Street 1:9621 WOODROW WILSON DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-8431
Practice Address - Country:US
Practice Address - Phone:214-592-9748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1173919225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist