Healthcare Provider Details

I. General information

NPI: 1417424847
Provider Name (Legal Business Name): RACHEL ENGLERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W MICHIGAN AVE
YPSILANTI MI
48197-5443
US

IV. Provider business mailing address

300 W MICHIGAN AVE
YPSILANTI MI
48197-5443
US

V. Phone/Fax

Practice location:
  • Phone: 734-936-7070
  • Fax:
Mailing address:
  • Phone: 734-763-2554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101004429
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: