Healthcare Provider Details

I. General information

NPI: 1073436788
Provider Name (Legal Business Name): RACHEL SANQUNETTI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3434 47TH ST STE 107
BOULDER CO
80301-1817
US

IV. Provider business mailing address

3250 E 236TH ST
CICERO IN
46034-9483
US

V. Phone/Fax

Practice location:
  • Phone: 303-376-0184
  • Fax:
Mailing address:
  • Phone: 317-420-1176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: