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NPI Code Detail

MEDICARE: MR. ROWDY J HATCH MSPT

MEDICARE: MR. ROWDY J HATCH MSPT
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 Therapist58473842401UT
2225100000XPhysical TherapistCP050809TTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982720579
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROWDY J HATCH MSPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 5750 W VICKERY BLVD STE 110
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7448
Country : US
Telephone Number : 682-382-4070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 11/05/2025

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Directions to “ MR. ROWDY J HATCH MSPT” Practice Location

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