Provider Demographics
NPI:1396270971
Name:PASZKO, RACHAEL
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:
Last Name:PASZKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 BIRD FARM RD
Mailing Address - Street 2:APT 4
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426-6426
Mailing Address - Country:US
Mailing Address - Phone:440-382-5423
Mailing Address - Fax:
Practice Address - Street 1:1000 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON FORGE
Practice Address - State:VA
Practice Address - Zip Code:24422-1873
Practice Address - Country:US
Practice Address - Phone:540-863-4096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist