Individual
RACHEL RETHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8150 OAKLANDON RD STE 130, INDIANAPOLIS, IN 46236-9554
(317) 621-1111
(317) 621-1110
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10002851A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/07/2019
Last updated
08/24/2021
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