Provider Demographics
NPI:1124759972
Name:SUTTON, RACHAEL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:
Last Name:SUTTON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HAMPTON HALL BLVD
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-7812
Mailing Address - Country:US
Mailing Address - Phone:843-837-1930
Mailing Address - Fax:843-837-1931
Practice Address - Street 1:4 HAMPTON HALL BLVD
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-7812
Practice Address - Country:US
Practice Address - Phone:843-837-1930
Practice Address - Fax:843-837-1931
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11389225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty