Provider Demographics
NPI:1528305539
Name:PECK, RACHEL E (DPT)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:E
Last Name:PECK
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 1:3727 CALIFORNIA AVE SW
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4303
Mailing Address - Country:US
Mailing Address - Phone:206-938-0860
Mailing Address - Fax:206-938-0866
Practice Address - Street 1:3727 CALIFORNIA AVE SW
Practice Address - Street 2:SUITE 1A
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4303
Practice Address - Country:US
Practice Address - Phone:206-938-0860
Practice Address - Fax:206-938-0866
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60045927225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist