Healthcare Provider Details

I. General information

NPI: 1730283359
Provider Name (Legal Business Name): AARON T RATHGEB M.S., P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 BRIDGEWATER ST
FREDERICKSBURG VA
22401-3304
US

IV. Provider business mailing address

PO BOX 421
FREDERICKSBURG VA
22404-0421
US

V. Phone/Fax

Practice location:
  • Phone: 540-993-0953
  • Fax:
Mailing address:
  • Phone: 540-993-0953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305006456
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: