Provider Demographics
NPI:1730283359
Name:RATHGEB, AARON T (MS, PT)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:T
Last Name:RATHGEB
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22404-0421
Mailing Address - Country:US
Mailing Address - Phone:540-993-0953
Mailing Address - Fax:
Practice Address - Street 1:434 BRIDGEWATER ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3304
Practice Address - Country:US
Practice Address - Phone:540-993-0953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305006456225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P300942Medicare UPIN
VA013339I31Medicare PIN