Healthcare Provider Details

I. General information

NPI: 1750219713
Provider Name (Legal Business Name): RACHEL THE SLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N JACKSON ST STE 5
TULLAHOMA TN
37388-3554
US

IV. Provider business mailing address

700 CRESTWOOD DR
TULLAHOMA TN
37388-2932
US

V. Phone/Fax

Practice location:
  • Phone: 931-581-0275
  • Fax:
Mailing address:
  • Phone: 931-581-0275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: RACHEL DYE
Title or Position: SPEECH LANGUAGE PATHOLOGIST AND OWN
Credential: MS, CCC-SLP
Phone: 931-581-0275