Healthcare Provider Details

I. General information

NPI: 1689146441
Provider Name (Legal Business Name): RACHEL MARIE DUELL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL MARIE PERKINS DPT

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 CHILDRENS WAY # W230
PROSPER TX
75078-7926
US

IV. Provider business mailing address

8081 WALNUT HILL LN STE 1000
DALLAS TX
75231-4313
US

V. Phone/Fax

Practice location:
  • Phone: 469-303-2508
  • Fax:
Mailing address:
  • Phone: 214-239-0993
  • Fax: 214-239-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1315252
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: