Provider Demographics
NPI:1578338430
Name:RAGSDALE, ANNA (DPT)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:RAGSDALE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 COCHRAN RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-5663
Mailing Address - Country:US
Mailing Address - Phone:770-851-2429
Mailing Address - Fax:
Practice Address - Street 1:5077 JIMMY LEE SMITH PKWY STE 119
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2796
Practice Address - Country:US
Practice Address - Phone:770-222-6621
Practice Address - Fax:770-222-8845
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT016120225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist