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JENNIFER LYNN RATLIFF PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1083809750

Individual Registrant:
 JENNIFER LYNN RATLIFF PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4216 SHASTA DAM BLVD  SHASTA LAKE, CA 96019-9422 US
Tel: 530-275-0777  Fax: 530-275-8779

Contact information for business:
PO BOX 493396  REDDING, CA 96049-3396 US
Tel: 530-221-9952  Fax: 530-221-9954

Registration Information:
NPI: 1083809750
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT17095

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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