Rachael Ann Woodside

Individual provider Active NPI Physical Therapy Assistant · Hamilton, IL

NPI 1346899358 · NPPES record last updated Sep 11, 2019

Key facts

NPI
1346899358
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
1599 Keokuk St
Hamilton, IL 62341-1137
Phone
(217) 847-3931
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

1599 Keokuk St
Hamilton, IL 62341-1137

Mailing address

1599 Keokuk St
Hamilton, IL 62341-1137

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Hamilton

Other providers in Hamilton, IL

All providers in Hamilton, IL · Physical Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.