Healthcare Provider Details

I. General information

NPI: 1548183452
Provider Name (Legal Business Name): RACHEL RICHARDSON PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 MAPLE AVE
HARLEYSVILLE PA
19438-1032
US

IV. Provider business mailing address

723 PA-113 STE 6
SOUDERTON PA
18964
US

V. Phone/Fax

Practice location:
  • Phone: 267-416-5938
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberTEI0062832
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: