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NPI Code Detail

MEDICARE: MRS. RACHEL JOHNSON

MEDICARE: MRS. RACHEL JOHNSON
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
1235Z00000XSpeech-Language Pathologist104335MO

General Provider Information

NPI Number : 1366571580
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL JOHNSON
Provider Business Mailing Address
First Line : 423 W PINE ST
Second Line :
City : HOUSTON
State : MO
Zip : 65483-1147
Country : US
Telephone Number : 417-967-3196
Fax Number :
Provider Business Practice Location Address
First Line : 423 W PINE ST
Second Line :
City : HOUSTON
State : MO
Zip : 65483-1147
Country : US
Telephone Number : 417-967-3196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. RACHEL JOHNSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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