MEDICARE: MS. RACHEL MARIE CREWS M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	11139962	TN

General Provider Information

NPI Number	:	1033761127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RACHEL MARIE CREWS M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	1215 21ST AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0014
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 21ST AVE S STE 7302
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0014
Country	:	US
Telephone Number	:	615-322-3452
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2019
Last Update Date	:	01/12/2026

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