Healthcare Provider Details

I. General information

NPI: 1831778208
Provider Name (Legal Business Name): RACHEL STRATTON PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 E PAULDING DR STE 102
DALLAS GA
30157-7192
US

IV. Provider business mailing address

4465 SHILOH CT NW
KENNESAW GA
30144-1526
US

V. Phone/Fax

Practice location:
  • Phone: 470-648-2038
  • Fax:
Mailing address:
  • Phone: 770-331-2391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA004626
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTA004626
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: