Healthcare Provider Details
I. General information
NPI: 1336271618
Provider Name (Legal Business Name): KATHERINE J RICHTAREK P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/12/2007
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 MUTUAL DR
ANDERSON SC
29621-1767
US
IV. Provider business mailing address
490 BABB RD
SENECA SC
29678-6504
US
V. Phone/Fax
- Phone: 864-261-3313
- Fax: 864-261-3371
- Phone: 864-430-7272
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | 2371 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | 2371 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: