Individual
RACHEL S BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004948
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012959
STATE LICENSE
CO
01
—
160004948
STATE LICENSE
IL
01
—
1991
STATE LICENSE
OK
01
—
2008021061
STATE LICENSE
MO
01
—
2067760
STATE LICENSE
TX
01
—
2143
STATE LICENSE
AK
Enumeration date
10/02/2008
Last updated
03/05/2013
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