MEDICARE: MRS. MARSHA ANN FECHTER 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	2494	OR
2	225100000X	Physical Therapist	4371	OH

General Provider Information

NPI Number	:	1528033388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARSHA ANN FECHTER PT

Provider Business Mailing Address
First Line	:	2055 BRYTON DR
Second Line	:
City	:	POWELL
State	:	OH
Zip	:	43065-9198
Country	:	US
Telephone Number	:	614-310-6214
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 POLARIS PKWY STE 202
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43240-4042
Country	:	US
Telephone Number	:	614-433-0264
Fax Number	:	614-545-0474

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

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	03/13/2012

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Directions to “ MRS. MARSHA ANN FECHTER PT” Practice Location

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