Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Douglas Dale Fullmer, PT

Individual provider Physical Therapist · NPI 1659148989

Douglas Dale Fullmer, PT is a Physical Therapist in Puyallup, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

8105 124th St E
Puyallup, WA 98373-4933
Phone: (775) 296-1996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 61491282 (WA)

Record details

NPI number1659148989
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 6, 2023
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023

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