Provider Demographics
NPI:1093575607
Name:DUNKEL, RACHEL ANN (PT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:DUNKEL
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 1:204 SOUTHLAKE DR
Mailing Address - Street 2:
Mailing Address - City:FARLEY
Mailing Address - State:IA
Mailing Address - Zip Code:52046-9317
Mailing Address - Country:US
Mailing Address - Phone:563-543-3479
Mailing Address - Fax:
Practice Address - Street 1:204 SOUTHLAKE DR
Practice Address - Street 2:
Practice Address - City:FARLEY
Practice Address - State:IA
Practice Address - Zip Code:52046-9317
Practice Address - Country:US
Practice Address - Phone:563-543-3479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004521208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation