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NPI Code Detail

MEDICARE: RACHEL BUSCH PT, DPT

MEDICARE: RACHEL BUSCH PT, 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 Therapist0015943CO

General Provider Information

NPI Number : 1548730773
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL BUSCH PT, DPT
Provider Business Mailing Address
First Line : 6864 S IVY WAY APT 102
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80112-1098
Country : US
Telephone Number : 763-458-5250
Fax Number :
Provider Business Practice Location Address
First Line : 814 S PERRY ST STE D
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-1942
Country : US
Telephone Number : 303-814-2883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2018
Last Update Date : 11/30/2018

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