Provider Demographics
NPI:1346690179
Name:DIEHL, RACHEL (LAT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:DIEHL
Suffix:
Gender:F
Credentials:LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15326 PARK ESTATES LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-3675
Mailing Address - Country:US
Mailing Address - Phone:713-817-2984
Mailing Address - Fax:
Practice Address - Street 1:15326 PARK ESTATES LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-3675
Practice Address - Country:US
Practice Address - Phone:713-817-2984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT65532255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer