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NPI Code Detail

MEDICARE: KATHRYN E RALSTON P.T.

MEDICARE:   KATHRYN E RALSTON  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist002911WV
2225100000XPhysical Therapist2257OR
3225100000XPhysical Therapist8021WA

General Provider Information

NPI Number : 1194843557
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN E RALSTON P.T.
Provider Business Mailing Address
First Line : 103 PROFESSIONAL ARTS PLAZA DR
Second Line :
City : BUCKHANNON
State : WV
Zip : 26201-4698
Country : US
Telephone Number : 304-472-0181
Fax Number : 304-472-0192
Provider Business Practice Location Address
First Line : 16219 SE 12TH ST
Second Line : SUITE 100
City : VANCOUVER
State : WA
Zip : 98683-8904
Country : US
Telephone Number : 360-253-4020
Fax Number : 360-604-9293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 01/14/2026

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Directions to “ KATHRYN E RALSTON P.T.” Practice Location

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