MEDICARE: TALITHA N RECTOR 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	22287	MD

General Provider Information

NPI Number	:	1548451958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALITHA N RECTOR PT, DPT

Provider Business Mailing Address
First Line	:	3153 CAHABA HEIGHTS RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5246
Country	:	US
Telephone Number	:	205-967-0280
Fax Number	:	205-967-0408

Provider Business Practice Location Address
First Line	:	3153 CAHABA HEIGHTS RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5246
Country	:	US
Telephone Number	:	205-967-0280
Fax Number	:	205-967-0408

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

Provider Enumeration Date	:	08/09/2007
Last Update Date	:	03/17/2018

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