Provider Demographics
NPI:1336623735
Name:PLETCHER, MARSHA DIANE (PT)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:DIANE
Last Name:PLETCHER
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 1:7031 FM 1447 W
Mailing Address - Street 2:
Mailing Address - City:YOAKUM
Mailing Address - State:TX
Mailing Address - Zip Code:77995-5071
Mailing Address - Country:US
Mailing Address - Phone:713-397-5532
Mailing Address - Fax:
Practice Address - Street 1:3518 ORCHARD MEWS DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7436
Practice Address - Country:US
Practice Address - Phone:713-334-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist