Provider Demographics
NPI:1033666326
Name:WOLFE, RACHEL (DPT)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:WOLFE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 SIR FRANCIS DRAKE BLVD APT 22
Mailing Address - Street 2:
Mailing Address - City:KENTFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94904-1431
Mailing Address - Country:US
Mailing Address - Phone:727-271-0386
Mailing Address - Fax:
Practice Address - Street 1:200 N SAN PEDRO RD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-4213
Practice Address - Country:US
Practice Address - Phone:415-491-4751
Practice Address - Fax:415-491-4754
Is Sole Proprietor?:No
Enumeration Date:2016-09-05
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291981225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist