Provider Demographics
NPI:1558761239
Name:CLAY, RACHEL LYNN (DPT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:CLAY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8515 DELMAR BLVD STE 226
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-2197
Mailing Address - Country:US
Mailing Address - Phone:314-744-9264
Mailing Address - Fax:314-474-0118
Practice Address - Street 1:8515 DELMAR BLVD STE 226
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63124-2197
Practice Address - Country:US
Practice Address - Phone:314-744-9264
Practice Address - Fax:314-474-0118
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2014030396225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist