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NPI Code Detail

MEDICARE: MS. RACHEL YARMAN

MEDICARE: MS. RACHEL YARMAN
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
1225100000XPhysical Therapist9046885-8016UT

General Provider Information

NPI Number : 1417361007
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHEL YARMAN
Provider Business Mailing Address
First Line : 764 S ACORN CT
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-3907
Country : US
Telephone Number : 419-606-2723
Fax Number :
Provider Business Practice Location Address
First Line : 2472 S 300 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-2895
Country : US
Telephone Number : 801-466-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2014
Last Update Date : 06/11/2014

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