Provider Demographics
NPI:1659812998
Name:POE, RACHEL IRENE (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:IRENE
Last Name:POE
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10220 BLACKHAWK BLVD RM 806
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-1000
Mailing Address - Country:US
Mailing Address - Phone:713-740-0370
Mailing Address - Fax:
Practice Address - Street 1:10220 BLACKHAWK BLVD RM 806
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-1000
Practice Address - Country:US
Practice Address - Phone:713-740-0370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-20
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer