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Individual

RACHELLE MAY WEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3 AUDUBON PLAZA DR STE L12, LOUISVILLE, KY 40217-1319
(502) 635-2600
Mailing address
5514 VALLEY PARK DR, LOUISVILLE, KY 40299-4173
(502) 386-3198

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003859
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000673699
ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY
Enumeration date
07/12/2006
Last updated
10/20/2010
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