MEDICARE: KATHY Z DORTON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	3040	SC

General Provider Information

NPI Number	:	1063682185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY Z DORTON PT

Provider Business Mailing Address
First Line	:	2156 OLDE CREEK RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-9324
Country	:	US
Telephone Number	:	803-324-5846
Fax Number	:	803-324-5846

Provider Business Practice Location Address
First Line	:	2156 OLDE CREEK RD
Second Line	:
City	:	ROCK HILL
State	:	SC
Zip	:	29732-9324
Country	:	US
Telephone Number	:	803-324-5846
Fax Number	:	803-324-5846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	03/04/2008

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Directions to “ KATHY Z DORTON PT” Practice Location

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