Provider Demographics
NPI:1558350280
Name:FEATHERSTON, RACHEL A (PTA)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:A
Last Name:FEATHERSTON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 HIGHWAY 174 N
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-9576
Mailing Address - Country:US
Mailing Address - Phone:870-777-6492
Mailing Address - Fax:870-777-6880
Practice Address - Street 1:744 HIGHWAY 174 N
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-9576
Practice Address - Country:US
Practice Address - Phone:870-777-6492
Practice Address - Fax:870-777-6880
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-15
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPTA 1773225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR143578721Medicaid