Ms Marsha Lynn Dougherty, MS, PT | |
2430 N 13th St, Shelton, WA 98584-1213 | |
(360) 426-1651 | |
Not Available |
Full Name | Ms Marsha Lynn Dougherty |
---|---|
Gender | Female |
Speciality | Physical Therapist - Geriatrics |
Location | 2430 N 13th St, Shelton, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760622286 | NPI | - | NPPES |
PT00010578 | Other | WA | DEPARTMENT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | PT00010578 (Washington) | Primary |
Provider Name | Aegis Group Practice Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902505001 PECOS PAC ID: 5193036432 Enrollment ID: O20230607003040 |
Mailing Address | Practice Location Address |
---|---|
Ms Marsha Lynn Dougherty, MS, PT 2033 Excelsior Dr Se, Olympia, WA 98501-3775 Ph: (360) 464-7459 | Ms Marsha Lynn Dougherty, MS, PT 2430 N 13th St, Shelton, WA 98584-1213 Ph: (360) 426-1651 |
Larry Messenger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 W K St, Suite C, Shelton, WA 98584 Phone: 360-462-0262 Fax: 360-462-0263 | |
John Benjamin Takagi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Mountain View Dr, Shelton, WA 98584 Phone: 360-427-9545 Fax: 360-427-3616 | |
Cedar Creek Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 121 W K St, Suite C, Shelton, WA 98584 Phone: 713-297-7000 Fax: 713-297-7090 | |
Gregory Alan Fulling, MS PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2142 W Railroad Ave, Suite A, Shelton, WA 98584 Phone: 360-426-0175 Fax: 360-432-2193 | |
Marynell Holden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2142 W Railroad Ave, Suite A, Shelton, WA 98584 Phone: 360-426-0175 | |
Dr. Emily Ann Tolkamp, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 153 Johns Ct, Shelton, WA 98584 Phone: 360-427-2575 | |
Paige Marie Johnson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 939 Mountain View Dr, Shelton, WA 98584 Phone: 360-427-9545 |