Provider Demographics
NPI:1205865946
Name:SPIVEY, RACHEL E (PT, DPT, OCS, MTC)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:E
Last Name:SPIVEY
Suffix:
Gender:F
Credentials:PT, DPT, OCS, MTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 CLEAR LAKE CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-8102
Mailing Address - Country:US
Mailing Address - Phone:832-224-4735
Mailing Address - Fax:832-224-4679
Practice Address - Street 1:1117 CLEAR LAKE CITY BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8102
Practice Address - Country:US
Practice Address - Phone:832-224-4735
Practice Address - Fax:832-224-4679
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist