Individual
RACHEL L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16120 W DODGE RD, OMAHA, NE 68118-2049
(402) 354-0410
(402) 354-0415
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11034
TN
225100000X
Physical Therapist
4019
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104368828
—
IA
Enumeration date
11/11/2016
Last updated
12/19/2019
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