Provider Demographics
NPI:1821607292
Name:MARCHESSAULT, KATHERINE ALAYNE (DPT)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ALAYNE
Last Name:MARCHESSAULT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-2953
Mailing Address - Country:US
Mailing Address - Phone:207-975-2400
Mailing Address - Fax:
Practice Address - Street 1:4 WHITE ST
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:ME
Practice Address - Zip Code:04841-2953
Practice Address - Country:US
Practice Address - Phone:207-975-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT27882251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics