Provider Demographics
NPI:1912580937
Name:KLAMET, RACHEL LEA (PT, DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEA
Last Name:KLAMET
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LEA
Other - Last Name:MEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:
Practice Address - Street 1:103 SW EAGLES PKWY
Practice Address - Street 2:
Practice Address - City:GRAIN VALLEY
Practice Address - State:MO
Practice Address - Zip Code:64029-8512
Practice Address - Country:US
Practice Address - Phone:816-443-2375
Practice Address - Fax:816-443-2380
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-06761225100000X
MO2021022660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist