Rachel Distelrath

NPI 1699885988 - Physical Therapist - 225100000X

NPI Details
NPI 1699885988
Gender Female
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1001 S KIRKWOOD RD
SUITE 140
SAINT LOUIS MO, 63122-7254, US
Phone (314) 821-5300
Fax
Business Location
405 SPRING VALLEY CT
CHESTERFIELD MO, 63017-2721, US
Phone (314) 514-8610
Fax
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 102031
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According to our database, Rachel Distelrath NPI is 1699885988, taxonomy code is 225100000X and license number is 102031, license state is located at Missouri. Rachel Distelrath physically located at 1001 S Kirkwood Rd, Saint Louis MO, 63122-7254. NPI Number Rachel Distelrath has the Individual type.

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1699885988 NPI number is provided on an as is basis without warranty of any kind. 1699885988 is maintained by the National Plan & Provider Enumeration System. The contents of Rachel Distelrath are for informational purposes only.