MEDICARE: CHELSEA RAPP PTA

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	225200000X	Physical Therapy Assistant	2121331	TX

General Provider Information

NPI Number	:	1215419882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA RAPP PTA

Provider Business Mailing Address
First Line	:	8001 WESTERN HILLS BLVD
Second Line	:
City	:	WHITE SETTLEMENT
State	:	TX
Zip	:	76108-3524
Country	:	US
Telephone Number	:	817-246-4953
Fax Number	:

Provider Business Practice Location Address
First Line	:	8001 WESTERN HILLS BLVD
Second Line	:
City	:	WHITE SETTLEMENT
State	:	TX
Zip	:	76108-3524
Country	:	US
Telephone Number	:	817-246-4953
Fax Number	:

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

Provider Enumeration Date	:	08/30/2018
Last Update Date	:	08/30/2018

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Directions to “ CHELSEA RAPP PTA” Practice Location

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