Healthcare Provider Details

I. General information

NPI: 1003326729
Provider Name (Legal Business Name): KATHLEEN ZAGER-DOXEY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2017
Last Update Date: 10/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5025 ANN ARBOR RD
JACKSON MI
49201-8801
US

IV. Provider business mailing address

3346 BRASSOW RD
SALINE MI
48176-9056
US

V. Phone/Fax

Practice location:
  • Phone: 517-879-1505
  • Fax:
Mailing address:
  • Phone: 734-649-1257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501004982
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: