Provider Demographics
NPI:1861827719
Name:HUFFMAN, JOSHUA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:JOSHUA
Other - Middle Name:JAYE
Other - Last Name:HUFFMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3328 DORADO BEACH DR
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-2208
Mailing Address - Country:US
Mailing Address - Phone:972-742-8840
Mailing Address - Fax:
Practice Address - Street 1:3328 DORADO BEACH DR
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-2208
Practice Address - Country:US
Practice Address - Phone:972-742-8840
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1235563225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist