MEDICARE: RACHEL MARIE GMACH PT

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	225100000X	Physical Therapist	PT14781	NC
2	225100000X	Physical Therapist	7967	SC

General Provider Information

NPI Number	:	1124451034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MARIE GMACH PT

Provider Business Mailing Address
First Line	:	8613 TAMARRON DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-1854
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7580 CHARLOTTE HWY
Second Line	:	SUITE 1100
City	:	INDIAN LAND
State	:	SC
Zip	:	29707-7801
Country	:	US
Telephone Number	:	803-548-5662
Fax Number	:	803-548-5635

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

Provider Enumeration Date	:	08/14/2013
Last Update Date	:	10/18/2022

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Directions to “ RACHEL MARIE GMACH PT” Practice Location

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