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NPI Code Detail

MEDICARE: RACHEL WEST KEMPFERT DPT

MEDICARE: RACHEL WEST KEMPFERT DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical TherapistPT 25477FL

General Provider Information

NPI Number : 1073832200
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL WEST KEMPFERT DPT
Provider Business Mailing Address
First Line : 1300 SHETTER AVE
Second Line : APT. 9204
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3455
Country : US
Telephone Number : 205-383-7751
Fax Number :
Provider Business Practice Location Address
First Line : 14785 OLD SAINT AUGUSTINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-2496
Country : US
Telephone Number : 904-292-1808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2010
Last Update Date : 08/16/2012

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Directions to “ RACHEL WEST KEMPFERT DPT” Practice Location

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