=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477468866
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL WOKASCH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2026
-----------------------------------------------------
Last Update Date | 08/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8162 SWAN LAKE RD
-----------------------------------------------------
City | CULVER
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55779-8077
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 218-345-6789
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 603 E 4TH ST
-----------------------------------------------------
City | SUPERIOR
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54880-3155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 1051009
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------