| NPI | 1477815405 |
|---|---|
| Former Name | RACHEL LYNNE THIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P17793) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12041-24) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-09-13 |