Provider Demographics
NPI:1215666235
Name:GERTON, RACHEL LYNNE
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LYNNE
Last Name:GERTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 S GREELEY HWY STE A
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82007-3063
Mailing Address - Country:US
Mailing Address - Phone:970-223-8219
Mailing Address - Fax:970-223-8219
Practice Address - Street 1:1217 S GREELEY HWY STE A
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-3063
Practice Address - Country:US
Practice Address - Phone:970-223-8219
Practice Address - Fax:970-223-8219
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist