MEDICARE: RACHEL SPIRITO 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	2251P0200X	Pediatric Physical Therapist	PTL.0014716	CO

General Provider Information

NPI Number	:	1427525161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL SPIRITO PT, DPT

Provider Business Mailing Address
First Line	:	234 N MAIN ST STE 1A
Second Line	:
City	:	GUNNISON
State	:	CO
Zip	:	81230-2437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 N SHERMAN ST APT 105
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-2847
Country	:	US
Telephone Number	:	401-644-3654
Fax Number	:

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

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	02/08/2024

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