Provider Demographics
NPI:1841981644
Name:ZUNIGA, RACHEL MAE (PT, DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MAE
Last Name:ZUNIGA
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 1:112 SCHUSTER CT
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-2569
Mailing Address - Country:US
Mailing Address - Phone:501-766-9438
Mailing Address - Fax:
Practice Address - Street 1:3150 S 31ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1803
Practice Address - Country:US
Practice Address - Phone:254-342-3836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1375732225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist