Provider Demographics
NPI:1346934056
Name:SLOAN, RACHEL DENE (DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:DENE
Last Name:SLOAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:787 E STATE ST STE 75
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6307
Mailing Address - Country:US
Mailing Address - Phone:208-402-8375
Mailing Address - Fax:
Practice Address - Street 1:787 E STATE ST STE 75
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-6307
Practice Address - Country:US
Practice Address - Phone:208-402-8375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist