Provider Demographics
NPI:1922678358
Name:HELLE, RACHEL L (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:L
Last Name:HELLE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17315-1233
Mailing Address - Country:US
Mailing Address - Phone:419-707-0019
Mailing Address - Fax:
Practice Address - Street 1:525 W 6TH ST
Practice Address - Street 2:
Practice Address - City:PORT CLINTON
Practice Address - State:OH
Practice Address - Zip Code:43452-2160
Practice Address - Country:US
Practice Address - Phone:419-734-3931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029517225100000X
225100000X
OHPT019690225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist