MRS. Rachel Thunder Rose Wyatt, PT, DPT, CLT

NPI #1396923777 in Kilgore, Texas

Provider Information

NPI Number: 1396923777
Entity Type: Individual
Name: MRS. Rachel Thunder Rose Wyatt, PT, DPT, CLT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, CLT
Enumeration Date: Feb 7, 2008
Last Updated: Apr 6, 2016

Practice Location

Address: 1200 DUDLEY ROAD
City: Kilgore
State: Texas
ZIP Code: 75662
Phone: (903) 753-6635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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