Provider Demographics
NPI:1659896231
Name:AVE'LALLEMANT, RACHEL MARIE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIE
Last Name:AVE'LALLEMANT
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5200 HUMMINGBIRD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-6316
Mailing Address - Country:US
Mailing Address - Phone:715-359-2500
Mailing Address - Fax:715-359-2588
Practice Address - Street 1:5200 HUMMINGBIRD RD STE 200
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-6316
Practice Address - Country:US
Practice Address - Phone:715-359-2500
Practice Address - Fax:715-359-2588
Is Sole Proprietor?:No
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist