Provider Demographics
NPI:1275885550
Name:ZATKOVICH, RACHEL VICTORIA (DPT)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:VICTORIA
Last Name:ZATKOVICH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:VICTORIA
Other - Last Name:MULLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2930 W HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-5058
Mailing Address - Country:US
Mailing Address - Phone:702-294-7498
Mailing Address - Fax:
Practice Address - Street 1:2930 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5058
Practice Address - Country:US
Practice Address - Phone:702-294-7498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3086225100000X
WA60295390225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist