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NPI Code Detail

MEDICARE: RACHAEL STABBERT

MEDICARE: RACHAEL STABBERT
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1174194179
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL STABBERT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1570 W ARMORY WAY STE 103
Second Line :
City : SEATTLE
State : WA
Zip : 98119-2720
Country : US
Telephone Number : 206-494-0459
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2021
Last Update Date : 07/09/2021

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Directions to “ RACHAEL STABBERT ” Practice Location

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