MEDICARE: DR. RACHEL TAYLOR BAXTER PT, DPT

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	PT014611	GA

General Provider Information

NPI Number	:	1205446317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL TAYLOR BAXTER PT, DPT

Provider Business Mailing Address
First Line	:	2973 FOREST CHASE TER NE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-1462
Country	:	US
Telephone Number	:	478-258-6209
Fax Number	:

Provider Business Practice Location Address
First Line	:	2973 FOREST CHASE TER NE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-1462
Country	:	US
Telephone Number	:	478-258-6209
Fax Number	:

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

Provider Enumeration Date	:	08/04/2020
Last Update Date	:	02/01/2023

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