Individual
RACHEL LYN REVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 S HUTTIG AVE, INDEPENDENCE, MO 64053-1833
(816) 679-1903
Mailing address
809 S HUTTIG AVE, INDEPENDENCE, MO 64053-1833
(816) 679-1903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019001731
MO
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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