Provider Demographics
NPI:1902190333
Name:BOBRICK, RACHELE REBER (MPT)
Entity Type:Individual
Prefix:MRS
First Name:RACHELE
Middle Name:REBER
Last Name:BOBRICK
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 1:513 W. BRIDGE STREET SUITE 'E'
Mailing Address - Street 2:MASON VALLEY PHYSICAL THERAPY
Mailing Address - City:YERINGTON
Mailing Address - State:NV
Mailing Address - Zip Code:89447
Mailing Address - Country:US
Mailing Address - Phone:775-463-4500
Mailing Address - Fax:775-463-4545
Practice Address - Street 1:513 W BRIDGE ST
Practice Address - Street 2:STE E
Practice Address - City:YERINGTON
Practice Address - State:NV
Practice Address - Zip Code:89447
Practice Address - Country:US
Practice Address - Phone:775-463-4500
Practice Address - Fax:775-463-4545
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0898225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist