Provider Demographics
NPI:1548451958
Name:RECTOR, TALITHA N (PT, DPT)
Entity type:Individual
Prefix:
First Name:TALITHA
Middle Name:N
Last Name:RECTOR
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3153 CAHABA HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-5246
Mailing Address - Country:US
Mailing Address - Phone:205-967-0280
Mailing Address - Fax:205-967-0408
Practice Address - Street 1:3153 CAHABA HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5246
Practice Address - Country:US
Practice Address - Phone:205-967-0280
Practice Address - Fax:205-967-0408
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22287225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist