Most Relevant Information
Provider Data
| NPI Number: | 1003240664 |
| Provider Name: | RACHEL TATHAM PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 05011221A |
Most Important Dates
| Enumeration Date: | 08/30/2013 |
| Last Updated: | 02/18/2015 |
Provider Practice Location
1675 N NATIONAL RD
SUITE D
COLUMBUS
IN
472015501
Practice Location Phone/Fax
| Phone: | 8127991257 |
| Fax: |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | 6302962223 |
| Fax: |