Provider Demographics
NPI:1215980586
Name:WELCH, RACHEL E (MSPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:WELCH
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:E
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:480 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:LEE
Mailing Address - State:MA
Mailing Address - Zip Code:01238-9265
Mailing Address - Country:US
Mailing Address - Phone:413-822-4634
Mailing Address - Fax:
Practice Address - Street 1:480 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:LEE
Practice Address - State:MA
Practice Address - Zip Code:01238-9265
Practice Address - Country:US
Practice Address - Phone:413-243-3477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2584225100000X
MA17639225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist