Healthcare Provider Details

I. General information

NPI: 1003273681
Provider Name (Legal Business Name): RITA M. KOTSIAS MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2016
Last Update Date: 05/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 FLEMING ST STE A
HENDERSONVILLE NC
28791-3540
US

IV. Provider business mailing address

PO BOX 15294
ASHEVILLE NC
28813-0294
US

V. Phone/Fax

Practice location:
  • Phone: 828-698-3489
  • Fax: 828-698-3490
Mailing address:
  • Phone: 828-230-2671
  • Fax: 828-274-8909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP9949
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: