Healthcare Provider Details

I. General information

NPI: 1538696216
Provider Name (Legal Business Name): RACHEL FITCHETT BS, CHHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 W DRYDEN RD
METAMORA MI
48455-8901
US

IV. Provider business mailing address

880 W DRYDEN RD
METAMORA MI
48455-8901
US

V. Phone/Fax

Practice location:
  • Phone: 810-656-9365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: