Basic Information
Provider Information
NPI: 1467438564
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROHR
FirstName: DOUG
MiddleName: W
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6397 LEE HWY STE 300
Address2:  
City: CHATTANOOGA
State: TN
PostalCode: 374214915
CountryCode: US
TelephoneNumber: 4232388923
FaxNumber: 4239547399
Practice Location
Address1: 1609 N COALTER ST
Address2:  
City: STAUNTON
State: VA
PostalCode: 244012552
CountryCode: US
TelephoneNumber: 5402131320
FaxNumber: 5402131323
Other Information
ProviderEnumerationDate: 12/20/2005
LastUpdateDate: 03/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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