Healthcare Provider Details

I. General information

NPI: 1316251309
Provider Name (Legal Business Name): ANNE KATHLEEN ROTHENBACH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 GLENWOOD DR STE 100
CHATTANOOGA TN
37404-1122
US

IV. Provider business mailing address

PO BOX 80426
CHATTANOOGA TN
37414-7426
US

V. Phone/Fax

Practice location:
  • Phone: 423-698-0304
  • Fax: 423-622-7068
Mailing address:
  • Phone: 423-495-3671
  • Fax: 214-429-2671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501015299
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12037
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: