Provider Demographics
NPI:1699366625
Name:RHODES, RACHELLE (PT, DPT, ATC)
Entity Type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:
Last Name:RHODES
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3760 BIRD RD UNIT 205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1550
Mailing Address - Country:US
Mailing Address - Phone:510-342-6586
Mailing Address - Fax:
Practice Address - Street 1:126 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5523
Practice Address - Country:US
Practice Address - Phone:954-457-4108
Practice Address - Fax:954-457-9554
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT36533225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist