MEDICARE: DOUG PAUL SOELL PT, MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	3783	OK
2	225100000X	Physical Therapist	1176807	TX

General Provider Information

NPI Number	:	1619941432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUG PAUL SOELL PT, MPT

Provider Business Mailing Address
First Line	:	3301 SUNDOWN BLVD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-8032
Country	:	US
Telephone Number	:	940-387-3700
Fax Number	:	940-488-4513

Provider Business Practice Location Address
First Line	:	3301 SUNDOWN BLVD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76210-8032
Country	:	US
Telephone Number	:	940-387-3700
Fax Number	:	940-488-4513

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	06/03/2024

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Directions to “ DOUG PAUL SOELL PT, MPT” Practice Location

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