Provider Demographics
NPI:1811053416
Name:COTE, RACHEL M
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:COTE
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 1:3440 CONWAY BLVD
Mailing Address - Street 2:3B
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-7000
Mailing Address - Country:US
Mailing Address - Phone:941-766-1882
Mailing Address - Fax:941-979-5881
Practice Address - Street 1:3440 CONWAY BLVD
Practice Address - Street 2:3B
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-7000
Practice Address - Country:US
Practice Address - Phone:941-766-1882
Practice Address - Fax:941-979-5881
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA17686225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC6253OtherBCBS