Individual
RACHEL ANN JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
185 SCOTTY DR, CARBONDALE, IL 62903-7359
(319) 321-6506
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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