NPI
Lisa Marie Dougherty
NPI 1164538773
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- PT, DPT
- Type
- Individual
- Enumeration date
- 2006-08-23
- Last updated
- 2024-02-22
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Specialties
Licenses
- License GA
- PT006185
Location
- Practice location
- 660 Lake Joy Rd Ste D
- City
- Kathleen GA
- Postal code
- 31047-2382
- Phone
- (478) 313-5385
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Physical Therapists in Kathleen, GA. 8 with this primary taxonomy in the public file.
Other NPIs in Kathleen, GA. 138 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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