MEDICARE: RACHEL ERIN MANUELE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	14191140-1206	UT
2	363A00000X	Physician Assistant
3	363A00000X	Physician Assistant	0110009773	VA

General Provider Information

NPI Number	:	1023899630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ERIN MANUELE

Provider Business Mailing Address
First Line	:	440 N PAIUTE DR
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84721-6181
Country	:	US
Telephone Number	:	435-688-7572
Fax Number	:

Provider Business Practice Location Address
First Line	:	1449 N 1400 W STE 19
Second Line	:
City	:	SAINT GEORGE
State	:	UT
Zip	:	84770-5237
Country	:	US
Telephone Number	:	356-887-5724
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	04/08/2025

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Directions to “ RACHEL ERIN MANUELE ” Practice Location

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