Distelrath, Rachel
Distelrath, Rachel is an individual health care provider with primary practice located at 12539 Olive Blvd , Creve Coeur MO 63141-6311. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Distelrath, Rachel can be contacted via phone (314) 205-2006.Contact Information
Primary practice address
12539 Olive Blvd
Creve Coeur MO 63141-6311
Phone: (314) 205-2006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 102031 | Missouri |
Profile Details
| NPI number | 1699885988 |
|---|---|
| LBN Legal business name | Distelrath, Rachel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Apr 26th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699885988 | NPPES |
| Missouri | Other | 102031 | LICENSE # |
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