Healthcare Provider Details

I. General information

NPI: 1073135182
Provider Name (Legal Business Name): RACHAEL MARGARET ASH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHAEL MARGARET WAUER PT

II. Dates (important events)

Enumeration Date: 05/12/2020
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 COMPETITION DR STE 100
BETTENDORF IA
52722-8837
US

IV. Provider business mailing address

5250 COMPETITION DR STE 100
BETTENDORF IA
52722-8837
US

V. Phone/Fax

Practice location:
  • Phone: 563-449-7000
  • Fax: 563-449-7099
Mailing address:
  • Phone: 563-449-7000
  • Fax: 563-449-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number092276
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: