Provider Demographics
NPI:1538473913
Name:CLEMENTS, RACHEL BIRDSALL (DPT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:BIRDSALL
Last Name:CLEMENTS
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 1:3521 KAREN DR
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-2509
Mailing Address - Country:US
Mailing Address - Phone:504-401-0963
Mailing Address - Fax:
Practice Address - Street 1:3317 PARIS RD
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-2217
Practice Address - Country:US
Practice Address - Phone:504-766-7532
Practice Address - Fax:504-581-8849
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07838225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist