Individual ProviderKathryn DoughtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(843) 263-4971PECOS EnrollmentBased on the most recent information from CMS, provider Kathryn Doughty does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1922491927Provider TypeIndividualFull NameDoughty, KathrynGenderFemaleSole ProprietorYesEnumeration Date3/15/2015Last Updated3/15/2015Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(843) 263-4971FaxUnlisted FaxMailing LocationMailing Address1304 1st St S, Jacksonville Beach, FL 32250-6404Phone(843) 263-4971FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT 27549Florida