Healthcare Provider Details

I. General information

NPI: 1609446582
Provider Name (Legal Business Name): RAELEI HEMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 HUDSON RD
CEDAR FALLS IA
50614-0001
US

IV. Provider business mailing address

207 E LOGAN ST
NEW HAMPTON IA
50659-1449
US

V. Phone/Fax

Practice location:
  • Phone: 319-273-6275
  • Fax:
Mailing address:
  • Phone: 641-229-0080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: