Healthcare Provider Details

I. General information

NPI: 1245157395
Provider Name (Legal Business Name): DOUGLAS KEITH DOBBS JR. DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 E STATE RD
AMERICAN FORK UT
84003-2151
US

IV. Provider business mailing address

636 E STATE RD
AMERICAN FORK UT
84003-2151
US

V. Phone/Fax

Practice location:
  • Phone: 801-492-6577
  • Fax: 801-492-6579
Mailing address:
  • Phone: 801-492-6577
  • Fax: 801-492-6579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14294983-2401
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: