Provider Demographics
NPI:1346934056
Name:SLOAN, RACHEL DENE (DPT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:DENE
Last Name:SLOAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11202 W RED SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83709-6486
Mailing Address - Country:US
Mailing Address - Phone:505-206-4094
Mailing Address - Fax:
Practice Address - Street 1:13967 W WAINWRIGHT DR STE 104
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-2094
Practice Address - Country:US
Practice Address - Phone:208-908-6899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist