Provider Demographics
NPI:1386167153
Name:WRIGHT, RACHEL MARIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:WRIGHT
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 1:1010 PRINCE PHILLIP DR
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-7888
Mailing Address - Country:US
Mailing Address - Phone:563-663-1890
Mailing Address - Fax:
Practice Address - Street 1:6700 FRANCE AVE S STE 230
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1907
Practice Address - Country:US
Practice Address - Phone:952-908-2700
Practice Address - Fax:952-908-2700
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN107112251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic