Revajo S. Broadwater
PT
Physical Therapist
About Revajo S. Broadwater
Revajo S. Broadwater, PT, is a female healthcare professional specializing in Physical Therapist, registered under National Provider Identifier (NPI) number 1023111317. Revajo S. Broadwater received her medical education at OTHER, graduating in 2006.
Their primary practice is located at 3537 NORTH CROSSING CIRCLE, Valdosta, Georgia 31602. Patients can reach the office at (229) 333-0095. Revajo S. Broadwater has been NPI-registered since 2006.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1023111317
- Entity Type
- Individual
- First Name
- Revajo
- Last Name
- Broadwater
- Credential
- PT
- Gender
- Female
- Medical School
- OTHER
- Graduation Year
- 2006
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 3537 NORTH CROSSING CIRCLE
- City
- Valdosta
- State
- Georgia
- ZIP
- 31602
- Country
- United States
- Phone
- (229) 333-0095
- Fax
- (229) 333-0756
Specialty & Taxonomy
- Primary Specialty
- Physical Therapist
- Classification
- Physical Therapist
- Taxonomy Code
- 225100000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 3537 NORTH CROSSING CIRCLE
- City
- VALDOSTA
- State
- GA
- ZIP
- 31602
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Revajo S. Broadwater's NPI number?
What does Revajo S. Broadwater specialize in?
Where is Revajo S. Broadwater located?
Does Revajo S. Broadwater accept Medicare?
Does Revajo S. Broadwater offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Revajo S. Broadwater is 1023111317.