Provider Demographics
NPI:1245876671
Name:HARTOS, RACHAEL ANN (DPT)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ANN
Last Name:HARTOS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:ANN
Other - Last Name:PREITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1930 SECLUSION PT APT I
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7976
Mailing Address - Country:US
Mailing Address - Phone:267-893-0183
Mailing Address - Fax:
Practice Address - Street 1:1930 SECLUSION PT APT I
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-7976
Practice Address - Country:US
Practice Address - Phone:267-893-0183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-20
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0018772225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist