Provider Demographics
NPI:1780486290
Name:VALONE, RACHEL LYNN
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:VALONE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11576 N 500 E
Mailing Address - Street 2:
Mailing Address - City:SAN PIERRE
Mailing Address - State:IN
Mailing Address - Zip Code:46374-9713
Mailing Address - Country:US
Mailing Address - Phone:219-781-4440
Mailing Address - Fax:
Practice Address - Street 1:2502 CALUMET AVE STE 3
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2762
Practice Address - Country:US
Practice Address - Phone:219-280-2034
Practice Address - Fax:219-200-3825
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06004716A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant