Provider Demographics
NPI:1588263875
Name:HERRON, RACHEL (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:HERRON
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 1:4033 TALBOT RD S STE 300
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5787
Mailing Address - Country:US
Mailing Address - Phone:425-690-3520
Mailing Address - Fax:425-690-9520
Practice Address - Street 1:4033 TALBOT RD S STE 300
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5787
Practice Address - Country:US
Practice Address - Phone:425-690-3520
Practice Address - Fax:425-690-9520
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT61096460225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist