Provider Demographics
NPI:1285927186
Name:TOLENTINO, RACHEL REGINE (RACHEL TOLENTINO)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:REGINE
Last Name:TOLENTINO
Suffix:
Gender:F
Credentials:RACHEL TOLENTINO
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:TOLENTINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RACHEL TOLENTINO
Mailing Address - Street 1:11520 TIBEE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-1926
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5145 FM 620 N STE L-110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-1835
Practice Address - Country:US
Practice Address - Phone:737-273-0490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11633092251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic