Provider Demographics
NPI:1063583318
Name:NATH, REKHA (MS, PT)
Entity type:Individual
Prefix:MRS
First Name:REKHA
Middle Name:
Last Name:NATH
Suffix:
Gender:F
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 1:5724 BRITTLYNS CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1464
Mailing Address - Country:US
Mailing Address - Phone:404-790-0360
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:11110 TOM ADAMS DR APT A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-3557
Practice Address - Country:US
Practice Address - Phone:512-836-1515
Practice Address - Fax:512-836-1515
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT007946225100000X
IL070.007398225100000X
TX1271292225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist