Provider Demographics
NPI:1346503661
Name:JONES, RACHEL INEZ (PT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:INEZ
Last Name:JONES
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:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:GUYMON
Mailing Address - State:OK
Mailing Address - Zip Code:73942-0302
Mailing Address - Country:US
Mailing Address - Phone:580-522-1245
Mailing Address - Fax:580-246-5433
Practice Address - Street 1:RR 1 BOX 96
Practice Address - Street 2:
Practice Address - City:GUYMON
Practice Address - State:OK
Practice Address - Zip Code:73942-9725
Practice Address - Country:US
Practice Address - Phone:580-522-1245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-04364225100000X
OK1929225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist