Kathleen Mary Doehla, M.S. P.T.
Individual provider Active NPI Physical Therapist · Stowe, VT
NPI 1598040859 · NPPES record last updated Oct 19, 2011
Key facts
- NPI
- 1598040859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 040.0003808 (VT)
- Practice address
- 435 Points N
Stowe, VT 05672 - Phone
- (203) 260-0215
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006759 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilton Physical Therapy, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0003808 | VT | Yes |
Addresses
Primary practice location
435 Points N
Stowe, VT 05672
Mailing address
PO Box 3703
Stowe, VT 05672-3703
Phone (203) 260-0215
Other providers in Stowe, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.