Kathryn Jordan Dougherty in Aptos - Physical Therapist
Kathryn Jordan Dougherty - NPI 1578689790
Kathryn Jordan Dougherty is a Physical Therapist in Aptos, California. Kathryn Jordan Dougherty practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kathryn Jordan Dougherty is 1578689790. The last update date is 2015-12-02.
Kathryn Jordan Dougherty's current location address is 1940 Bonita Drive, Aptos, California. You can contact this provider via phone number 8316841804 and fax number 8316841826. The mailing address for Kathryn Jordan Dougherty is 1940 Bonita Drive, Aptos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Jordan Dougherty |
|---|---|
| Address | 1940 Bonita Drive, Aptos, California |
| Phone Number | 8316841804 |
| Fax Number | 8316841826 |
| Sole Proprietor | N |
| Credentials | PT, MPT |
NPI Number Detail
| NPI Number | 1578689790 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2015-12-02 |
Provider Mailing Address Detail
| Address | 1940 Bonita Drive |
|---|---|
| City | Aptos |
| State | California (CA) |
| Post Code | 95003 |
| Phone Number | 8316841804 |
| Fax Number | 8316841826 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT017564 |
|
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1018303320001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathryn Jordan Dougherty by the Centers for Medicare & Medicaid Services?
The Kathryn Jordan Dougherty has been issued the NPI (National Provider Identifier) 1578689790, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kathryn Jordan Dougherty located?
The Kathryn Jordan Dougherty is located at 1940 Bonita Drive, Aptos, CA 95003.
What is the Kathryn Jordan Dougherty's specialty and taxonomy code?
The Kathryn Jordan Dougherty's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Kathryn Jordan Dougherty receive the assignment of its 1578689790 from the Centers for Medicare & Medicaid Services?
The Kathryn Jordan Dougherty was issued its 1578689790 by the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date were the details pertaining to Kathryn Jordan Dougherty last refreshed?
The information related to the Kathryn Jordan Dougherty, including its address, specialty, and other relevant details, was last updated on 2015-12-02.