Provider Demographics
NPI:1467731448
Name:JOBES, RACHAEL NICOLE (DPT)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:NICOLE
Last Name:JOBES
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:PO BOX 5901
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-5901
Mailing Address - Country:US
Mailing Address - Phone:406-431-2658
Mailing Address - Fax:855-654-6377
Practice Address - Street 1:140 ARROWROOT DR
Practice Address - Street 2:
Practice Address - City:CLANCY
Practice Address - State:MT
Practice Address - Zip Code:59634-9815
Practice Address - Country:US
Practice Address - Phone:406-431-2658
Practice Address - Fax:855-654-6377
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26552225100000X
MTPTP-PT-LIC-4321225100000X
MT4321225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist