Healthcare Provider Details

I. General information

NPI: 1336517366
Provider Name (Legal Business Name): RACHEL DARROW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 09/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 NE 99TH ST
KANSAS CITY MO
64155-2299
US

IV. Provider business mailing address

715 NE 99TH ST
KANSAS CITY MO
64155-2299
US

V. Phone/Fax

Practice location:
  • Phone: 913-775-2262
  • Fax:
Mailing address:
  • Phone: 913-775-2262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: