Doctor Name: | RACHEL THACKER |
NPI Number: | 1184979015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 2305207519 |
Business Practice Address: | 2135 General Booth Blvd 152 Virginia Beach, VA - 234545881 |
Business Phone Number: | 7574308828 |
Business Fax Number: | 7574308189 |
Mailing Address: | 2135 General Booth Blvd, 152 VIRGINIA BEACH |
State: | VA |
Postal Code: | 234545881 |
Phone Number: | 7574308828 |
Fax Number: | 7574308189 |
NPI Enumeration Date: | 07/17/2012 |
NPI Last Update Date: | 09/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305207519 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |