Provider Demographics
NPI:1366092835
Name:KNIGHT, RACHEL MASCIARELLI (PT, DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MASCIARELLI
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 TENAHA ST
Mailing Address - Street 2:
Mailing Address - City:CENTER
Mailing Address - State:TX
Mailing Address - Zip Code:75935-3862
Mailing Address - Country:US
Mailing Address - Phone:936-280-0280
Mailing Address - Fax:
Practice Address - Street 1:204 TENAHA ST
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-3862
Practice Address - Country:US
Practice Address - Phone:936-280-0280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10465225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist