Individual
MRS. KATIE RIEGELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3206 PEACH ORCHARD RD, AUGUSTA, GA 30906-3540
(706) 772-8873
Mailing address
PO BOX 5545, AUGUSTA, GA 30916-5545
(706) 349-4118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT013977
STATE LICENSE
GA
Enumeration date
06/25/2019
Last updated
06/25/2019
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