MEDICARE: OLIVIA CHRISTINE RATHGEB PT, DPT

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	36648	FL
2	225100000X	Physical Therapist	14593	TN

General Provider Information

NPI Number	:	1427778240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA CHRISTINE RATHGEB PT, DPT

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-497-0005
Fax Number	:

Provider Business Practice Location Address
First Line	:	26448 MAIN ST
Second Line	:
City	:	ARDMORE
State	:	TN
Zip	:	38449-2913
Country	:	US
Telephone Number	:	931-427-6030
Fax Number	:

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

Provider Enumeration Date	:	08/31/2022
Last Update Date	:	01/09/2025

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Directions to “ OLIVIA CHRISTINE RATHGEB PT, DPT” Practice Location

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