Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALTON DERTHICK, PT, DPT, CSCS
ActivePhysical Medicine & Rehabilitation · TEMPE, AZ
Registration Details
- NPI Number
- 1811412778
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 11, 2017 (8.7361194296183 yrs)
- Last Updated
- Sep 6, 2017
- License
-
13226PT (AZ)
Practice Information
- Address
-
4703 S LAKESHORE DR STE 2TEMPE, AZ, 852827159Browse AZ providers · Browse ZIP 85282
- Phone
- 4807189493
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in TEMPE, AZ
| Name | Credential | NPI |
|---|---|---|
| JOSEPH E LOGAR III | P.T. | 1750406740 |
| DR. ARMEN DERIAN | M.D. | 1275978876 |
| MS. ALEX KELLETT | P.T.A. | 1609256809 |
| CARLY ROSE GUZMAN | OTR/L | 1881106664 |
| REBECCA GLUBB | — | 1619450467 |
| RYAN EUGENE DENNY | DPT | 1730773896 |
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.