=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629947619
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL SAAGE M.S., CCC-SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/30/2025
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4001 FLAT ROCK RD
-----------------------------------------------------
City | WACO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76708-6146
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-759-1200
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12166 YANKIE RD
-----------------------------------------------------
City | CHINA SPRING
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76633-3023
-----------------------------------------------------
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 | 123020
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------