Healthcare Provider Details

I. General information

NPI: 1831706209
Provider Name (Legal Business Name): RACHEL HOTT CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 W JEFFERSON ST
FRANKLIN IN
46131-2179
US

IV. Provider business mailing address

512 E NEW YORK ST
INDIANAPOLIS IN
46202-3630
US

V. Phone/Fax

Practice location:
  • Phone: 317-736-7185
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14310111
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: