Provider Demographics
NPI:1639651003
Name:PUTMAN, RACHAEL EMILY (PT, DPT)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:EMILY
Last Name:PUTMAN
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 1:14 VERDE BND
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-2459
Mailing Address - Country:US
Mailing Address - Phone:478-952-9667
Mailing Address - Fax:
Practice Address - Street 1:6206 WATERS AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2708
Practice Address - Country:US
Practice Address - Phone:478-952-9667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT013526225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist