Healthcare Provider Details

I. General information

NPI: 1619273380
Provider Name (Legal Business Name): RACHAEL A GUMM DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2011
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W SHERMAN ST STE 201
MONROE IA
50170-7704
US

IV. Provider business mailing address

PO BOX 716
MONROE IA
50170-0716
US

V. Phone/Fax

Practice location:
  • Phone: 641-417-5376
  • Fax:
Mailing address:
  • Phone: 641-417-5376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004773
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: