Healthcare Provider Details

I. General information

NPI: 1801014121
Provider Name (Legal Business Name): RACHELLE MARIE MCGUIGAN P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/25/2021
Certification Date: 08/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006 N 144TH ST
OMAHA NE
68116-4206
US

IV. Provider business mailing address

4006 N 144TH ST
OMAHA NE
68116-4206
US

V. Phone/Fax

Practice location:
  • Phone: 402-885-8855
  • Fax: 402-885-8859
Mailing address:
  • Phone: 402-885-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number2011
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: