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Tracey Raith, PT
Specialist in Cumming, Georgia
NPI 1306948005

Tracey Raith is a Specialist based in Cumming, GA. Tracey Raith practices in Cumming, GA and has the professional credentials of PT. The NPI Number for Tracey Raith is 1306948005 and holds a License No. PT004372 (Georgia).

The current practice location address for Tracey Raith is 3260 Keith Bridge Rd, Cumming, GA and can be reached out via phone at 770-886-6282 and via fax at 770-205-8892.

Location: 3260 Keith Bridge Rd, Cumming, GA, 30041-3937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306948005
Provider Name
Tracey Raith
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
3260 Keith Bridge Rd, Cumming, GA, 30041-3937
Phone Number
770-886-6282
Fax Number
770-205-8892
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000654948D 05 GA
institution
Provider Business Practice Location Address Details
Address
3260 Keith Bridge Rd
City
Cumming
State
Georgia
Zip
30041-3937
Phone Number
770-886-6282
Fax Number
770-205-8892
person
Provider Business Mailing Address Details
Address
3260 Keith Bridge Rd
City
Cumming
State
Georgia
Zip
30041-3937
Phone Number
770-886-6282
Fax Number
770-205-8892
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT004372 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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