Basic Information
Provider Information
NPI: 1255780300
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CUTTS
FirstName: RACHEL
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: PT, RDN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 350 NEW FIDELITY CT
Address2:  
City: GARNER
State: NC
PostalCode: 275292665
CountryCode: US
TelephoneNumber: 9192582714
FaxNumber: 4106484878
Practice Location
Address1: 7711 QUARTERFIELD RD STE C2
Address2:  
City: GLEN BURNIE
State: MD
PostalCode: 21061
CountryCode: US
TelephoneNumber: 4104876447
FaxNumber: 4104876450
Other Information
ProviderEnumerationDate: 06/09/2016
LastUpdateDate: 05/30/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1274512TXN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X292626CAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
2255A2300X  N Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
225100000X26943MDY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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