Provider Demographics
NPI:1376963884
Name:RATLIFF, AMELIA (MPT)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:RATLIFF
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:6262 VETERANS PKWY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909
Mailing Address - Country:US
Mailing Address - Phone:706-324-6661
Mailing Address - Fax:706-494-3008
Practice Address - Street 1:1550 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-6352
Practice Address - Country:US
Practice Address - Phone:601-573-9974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH40132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic