MEDICARE: RACHEL GANGER

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	2251X0800X	Orthopedic Physical Therapist	PTL.0017134	CO

General Provider Information

NPI Number	:	1477120343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL GANGER

Provider Business Mailing Address
First Line	:	6235 S MAIN ST
Second Line	:	STE 101
City	:	AURORA
State	:	CO
Zip	:	80016-5373
Country	:	US
Telephone Number	:	720-324-9380
Fax Number	:	303-221-1496

Provider Business Practice Location Address
First Line	:	6235 S MAIN ST STE 101
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80016-5373
Country	:	US
Telephone Number	:	303-840-7325
Fax Number	:

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

Provider Enumeration Date	:	06/08/2021
Last Update Date	:	06/18/2021

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Directions to “ RACHEL GANGER ” Practice Location

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