Healthcare Provider Details

I. General information

NPI: 1700817236
Provider Name (Legal Business Name): GERALD ALAN RUFF P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 JOE FRANK HARRIS PKWY SE STE 100
CARTERSVILLE GA
30120-2160
US

IV. Provider business mailing address

970 JOE FRANK HARRIS PKWY SE STE 100
CARTERSVILLE GA
30120-2160
US

V. Phone/Fax

Practice location:
  • Phone: 770-443-7136
  • Fax: 770-443-7136
Mailing address:
  • Phone: 770-443-7136
  • Fax: 770-443-7136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8748
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: