Provider Demographics
NPI:1174893002
Name:DUKES, ROBIN ELYSE (DPT, VRT)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:ELYSE
Last Name:DUKES
Suffix:
Gender:F
Credentials:DPT, VRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1271 OLD FORT RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-8693
Mailing Address - Country:US
Mailing Address - Phone:678-333-3812
Mailing Address - Fax:
Practice Address - Street 1:14 SHANNON DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1329
Practice Address - Country:US
Practice Address - Phone:678-333-3812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13358225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist