Healthcare Provider Details

I. General information

NPI: 1871912238
Provider Name (Legal Business Name): RACHEL SCHIDER DPT, MHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18202 N 45TH ST
PHOENIX AZ
85032-1584
US

IV. Provider business mailing address

18202 N 45TH ST
PHOENIX AZ
85032-1584
US

V. Phone/Fax

Practice location:
  • Phone: 612-803-9538
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: