Provider Demographics
NPI:1578606596
Name:AMES, RACHEL S (PT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:S
Last Name:AMES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SHERBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:945 WYOMING ST UNIT 135
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-2057
Mailing Address - Country:US
Mailing Address - Phone:406-370-1377
Mailing Address - Fax:800-886-0200
Practice Address - Street 1:945 WYOMING ST UNIT 135
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-2057
Practice Address - Country:US
Practice Address - Phone:406-370-1377
Practice Address - Fax:800-886-0200
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1850225100000X
MT1882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1588110977OtherASPIRE FITNESS PT NPI
1558737551OtherFITS NPI