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Contact Information

JASON DOUGHTY, PTA
186 BREEZE LANE
CALVERT CITY, KY42029
 Phone: 270-898-2773
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JASON DOUGHTY · (Male)

NPI # 1285018564
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 07/16/2015
Last updated 07/16/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KY License # A02674
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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