Provider Demographics
NPI:1619433398
Name:BOURGEOIS SLAUGHTER, RACHEL KATHRYN (DPT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:KATHRYN
Last Name:BOURGEOIS SLAUGHTER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:BOURGEOIS
Other - Last Name:SLAUGHTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:321 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005
Mailing Address - Country:US
Mailing Address - Phone:504-834-9259
Mailing Address - Fax:504-834-9281
Practice Address - Street 1:321 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005
Practice Address - Country:US
Practice Address - Phone:504-834-9259
Practice Address - Fax:504-834-9281
Is Sole Proprietor?:No
Enumeration Date:2019-02-18
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10804R225100000X
1315964225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist