Marsha Lynn Dougherty, MS, PT
Physical Therapist, Geriatrics in Shelton, WA. Individual provider (NPI-1).
NPI number1760622286
StatusActive
Last updated in NPPESFeb 23, 2009
Details
- NPI
- 1760622286
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marsha Lynn Dougherty
- Credential
- MS, PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2009
- Last updated
- Feb 23, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251G0304X | Physical Therapist, Geriatrics | Pt00010578 | WA | Yes |
Practice location
2430 N 13th StShelton, WA 98584-1213
Phone 360-426-1651
Mailing address
2033 Excelsior Dr SeOlympia, WA 98501-3775
Phone 360-464-7459
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