Healthcare Provider Details

I. General information

NPI: 1720903040
Provider Name (Legal Business Name): MS. RACHEL SARA BRESS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL SARA KELLER

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 WESTFALL RD
ROCHESTER NY
14620-4610
US

IV. Provider business mailing address

620 WESTFALL RD
ROCHESTER NY
14620-4610
US

V. Phone/Fax

Practice location:
  • Phone: 585-957-1327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number012986
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: