Healthcare Provider Details

I. General information

NPI: 1225973464
Provider Name (Legal Business Name): RACHEL MCCHESNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1833 NW 7TH PL
CAPE CORAL FL
33993-4006
US

IV. Provider business mailing address

1833 NW 7TH PL
CAPE CORAL FL
33993-4006
US

V. Phone/Fax

Practice location:
  • Phone: 239-699-5569
  • Fax:
Mailing address:
  • Phone: 239-699-5569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: