Provider Demographics
NPI:1598281560
Name:KLAWUHN, RACHAEL MARGARET (DPT)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MARGARET
Last Name:KLAWUHN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:MARGARET
Other - Last Name:ZDEB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:7381 W 133RD ST STE 302
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-4772
Mailing Address - Country:US
Mailing Address - Phone:913-904-1128
Mailing Address - Fax:
Practice Address - Street 1:7601 NW ROANRIDGE RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-1473
Practice Address - Country:US
Practice Address - Phone:816-741-5540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-21
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-05768225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist