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NPI Code Detail

MEDICARE: RACHEL THORNE DPT

MEDICARE: RACHEL THORNE 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
1225100000XPhysical Therapist61343073WA

General Provider Information

NPI Number : 1508587189
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL THORNE DPT
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 : 5025 25TH AVE NE STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98105-4152
Country : US
Telephone Number : 206-524-6702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2022
Last Update Date : 07/31/2024

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Directions to “ RACHEL THORNE DPT” Practice Location

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