Individual
KASEY DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1025 SE TALLGRASS LN STE 120, WAUKEE, IA 50263-6817
(515) 875-9706
(515) 875-9707
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9925
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111485
IA
Other
Enumeration date
02/03/2022
Last updated
04/18/2025
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