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NPI Code Detail

MEDICARE: RACHAEL LYNN ELKING DPT

MEDICARE: RACHAEL LYNN ELKING 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
1225100000XPhysical Therapist32624FL
2208100000XPhysical Medicine & Rehabilitation PhysicianPT32624FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558883363
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL LYNN ELKING DPT
Provider Business Mailing Address
First Line : 300 AVENUE OF CHAMPIONS STE 100
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-3615
Country : US
Telephone Number : 561-223-3872
Fax Number : 561-223-3895
Provider Business Practice Location Address
First Line : 300 AVENUE OF CHAMPIONS STE 100
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33418-3615
Country : US
Telephone Number : 561-223-3872
Fax Number : 561-223-3895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2017
Last Update Date : 07/21/2022

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