Provider Demographics
NPI:1639826563
Name:COMER, RACHEL ANN
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:COMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:CARMODY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:357 PITNEY RD APT 122
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-5818
Mailing Address - Country:US
Mailing Address - Phone:570-352-4365
Mailing Address - Fax:
Practice Address - Street 1:684 W MAIN ST STE E
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-9235
Practice Address - Country:US
Practice Address - Phone:717-466-2044
Practice Address - Fax:717-466-2046
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT200001347225100000X
PAPT031687225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist