MEDICARE: KAREN C. RATLIFF PT, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	728	AK
2	225100000X	Physical Therapist	3530	OK

General Provider Information

NPI Number	:	1366612137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN C. RATLIFF PT, MS

Provider Business Mailing Address
First Line	:	624 REDSTONE AVE
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-5914
Country	:	US
Telephone Number	:	405-664-6206
Fax Number	:

Provider Business Practice Location Address
First Line	:	8520 S 36TH AVE
Second Line	:	STEIN ANCILLARY SERVICES
City	:	FORT SMITH
State	:	AR
Zip	:	72908-8880
Country	:	US
Telephone Number	:	479-410-1740
Fax Number	:	479-410-1596

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	05/06/2025

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