Provider Demographics
NPI:1023026960
Name:SHAH, RACHNA (PT)
Entity Type:Individual
Prefix:MRS
First Name:RACHNA
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-373-7116
Practice Address - Street 1:627 S JAMES CAMPBELL BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4392
Practice Address - Country:US
Practice Address - Phone:931-398-2288
Practice Address - Fax:931-218-2841
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6916225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist