Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLYDE GLENN GORDON DOROMAL, RPT, PTRP
Active Sole ProprietorMR. CLYDE GLENN GORDON DOROMAL, RPT, PTRP is a Physical Therapy Assistant healthcare provider located in FARMINGTON, Missouri. NPI 1457562357 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FARMINGTON, MO
Registration Details
- NPI Number
- 1457562357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2007 (19.231421819745 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2006010374 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 MAPLE VALLEY DRPANG APARTMENT 17FARMINGTON, MO, 636401973Browse MO providers · Browse ZIP 63640
- Phone
- 8703291625
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in FARMINGTON, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINE MARIE GEILE | PT | 1245205236 |
| EDWARD T RINDA | PT | 1760445464 |
| KENNETH MONROE WILSON | MHO PT SCS ATC | 1396854915 |
| JOHN BRYAN TEEPE | MPT | 1801905419 |
| BRANDI NICOLE SCHWARTZ | MPT | 1134230980 |
| DENA LYNNE ROSE | PT | 1205947058 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.