Provider Demographics
NPI:1356522478
Name:DENNIS DOTY PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:DENNIS DOTY PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:DOTY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:775-826-5575
Mailing Address - Street 1:1699 S VIRGINIA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-2809
Mailing Address - Country:US
Mailing Address - Phone:775-826-5575
Mailing Address - Fax:775-826-4494
Practice Address - Street 1:1699 S VIRGINIA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2809
Practice Address - Country:US
Practice Address - Phone:775-826-5575
Practice Address - Fax:775-826-4494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1723225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty