Provider Demographics
NPI:1477804201
Name:FLANSBURG, RACHELLE LYNN (PT, DPT, COQS, CFPS)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:LYNN
Last Name:FLANSBURG
Suffix:
Gender:F
Credentials:PT, DPT, COQS, CFPS
Other - Prefix:
Other - First Name:RACHELLE
Other - Middle Name:LYNN
Other - Last Name:SHOULTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:6060 E ILIFF AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5721
Mailing Address - Country:US
Mailing Address - Phone:303-759-4221
Mailing Address - Fax:303-756-6307
Practice Address - Street 1:6060 E ILIFF AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5721
Practice Address - Country:US
Practice Address - Phone:303-759-4221
Practice Address - Fax:303-756-6307
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10506225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist