MEDICARE: DOSHER PHYSICAL THERAPY ASSOCIATES, INC

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

General Provider Information

NPI Number	:	1588658223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOSHER PHYSICAL THERAPY ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	227 S PENDLETON ST
Second Line	:	STE B
City	:	EASLEY
State	:	SC
Zip	:	29640-3047
Country	:	US
Telephone Number	:	864-855-7030
Fax Number	:	864-855-7019

Provider Business Practice Location Address
First Line	:	790 N MAIN ST
Second Line	:	STE 102
City	:	CLAYTON
State	:	GA
Zip	:	30525
Country	:	US
Telephone Number	:	706-212-0661
Fax Number	:	706-212-0662

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL L DOSHER
Credential	:	PT
Telephone Number	:	864-855-7030

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	07/25/2023

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