Raith, Tracey
Raith, Tracey is an individual health care provider with primary practice located at 3260 Keith Bridge Rd 220, Cumming GA 30041-3937. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Raith, Tracey can be contacted via phone (770) 886-6282.Contact Information
Primary practice address
3260 Keith Bridge Rd 220
Cumming GA 30041-3937
Phone: (770) 886-6282
Fax: (770) 205-8892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT004372 | Georgia |
Profile Details
| NPI number | 1306948005 |
|---|---|
| LBN Legal business name | Raith, Tracey |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306948005 | NPPES |
| Georgia | MEDICAID | 000654948D |
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