Provider Demographics
NPI:1629560859
Name:DLOUHY, DANISE AUBREY (DPT)
Entity type:Individual
Prefix:DR
First Name:DANISE
Middle Name:AUBREY
Last Name:DLOUHY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8358 SW DEEANN CT
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-8204
Mailing Address - Country:US
Mailing Address - Phone:515-238-3110
Mailing Address - Fax:
Practice Address - Street 1:5465 SW WESTERN AVE STE H
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-4179
Practice Address - Country:US
Practice Address - Phone:515-238-3110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty