Provider Demographics
NPI:1326525585
Name:THOMPSON, RACHEL M (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:M
Last Name:THOMPSON
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 1:5786 DENMANS LOOP
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-4868
Mailing Address - Country:US
Mailing Address - Phone:210-260-5778
Mailing Address - Fax:
Practice Address - Street 1:8605 83RD STREET CT SW APT 521
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-4756
Practice Address - Country:US
Practice Address - Phone:210-260-5778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1302713225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist