Provider Demographics
NPI:1679799985
Name:SHIPPY, RACHELLE F (MPT)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:F
Last Name:SHIPPY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34357 JARED CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48047-6118
Mailing Address - Country:US
Mailing Address - Phone:586-725-0117
Mailing Address - Fax:586-716-0915
Practice Address - Street 1:34357 JARED CT
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MI
Practice Address - Zip Code:48047-6118
Practice Address - Country:US
Practice Address - Phone:586-725-0117
Practice Address - Fax:586-716-0915
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004830225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist