Provider Demographics
NPI:1942389861
Name:WATSON, TODD ALLEN (DPT, OCS, FAAOMPT)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:ALLEN
Last Name:WATSON
Suffix:
Gender:M
Credentials:DPT, OCS, FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CADDIS CT
Mailing Address - Street 2:
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-6905
Mailing Address - Country:US
Mailing Address - Phone:828-665-1291
Mailing Address - Fax:
Practice Address - Street 1:1390 SAND HILL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-8938
Practice Address - Country:US
Practice Address - Phone:828-418-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC79172251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports