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NPI Code Detail

MEDICARE: LAUREN BLOUNT RAUBENOLT PT, DPT

MEDICARE:   LAUREN BLOUNT RAUBENOLT  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
1225100000XPhysical TherapistPT010770GA

General Provider Information

NPI Number : 1881944395
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN BLOUNT RAUBENOLT PT, DPT
Provider Business Mailing Address
First Line : 6397 LEE HWY STE 300
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2564
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-362-8684
Provider Business Practice Location Address
First Line : 925 GARRETT ST SE STE J
Second Line :
City : ATLANTA
State : GA
Zip : 30316-6833
Country : US
Telephone Number : 404-624-5407
Fax Number : 404-624-5409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2012
Last Update Date : 04/11/2018

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Directions to “ LAUREN BLOUNT RAUBENOLT PT, DPT” Practice Location

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