Provider Demographics
NPI:1528033388
Name:FECHTER, MARSHA ANN (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:ANN
Last Name:FECHTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 BRYTON DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9198
Mailing Address - Country:US
Mailing Address - Phone:614-310-6214
Mailing Address - Fax:
Practice Address - Street 1:1120 POLARIS PKWY STE 202
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-4042
Practice Address - Country:US
Practice Address - Phone:614-433-0264
Practice Address - Fax:614-545-0474
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2494225100000X
OH4371225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist