Provider Demographics
NPI:1285842617
Name:STEWART, RACHEL LEE (PT)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:LEE
Last Name:STEWART
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 1:8972 BIG HORN TRAIL
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064
Mailing Address - Country:US
Mailing Address - Phone:334-669-4887
Mailing Address - Fax:334-593-1965
Practice Address - Street 1:8972 BIG HORN TRAIL
Practice Address - Street 2:
Practice Address - City:PIKE ROAD
Practice Address - State:AL
Practice Address - Zip Code:36064
Practice Address - Country:US
Practice Address - Phone:334-669-4887
Practice Address - Fax:334-593-1965
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4287225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist