Individual provider · Type 1 NPI

Amie Lynn Boles Dougherty, PT, DPT

Pediatric Physical Therapist · Dallas, TX

NPI number 1689038770 Active

Practice location

7054 Oakbluff Dr
Dallas, TX 75254-2753

Fax (972) 525-9988

Specialties and licenses

Taxonomy	Code	License
Pediatric Physical Therapist Primary	2251P0200X	1218278 (TX)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1689038770

Amie Lynn Boles Dougherty, PT, DPT's National Provider Identifier is 1689038770, issued on Apr 5, 2016. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Dallas, TX. The record was last updated on Feb 26, 2025.