DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RACQUEL HOLMSTROM

MEDICARE: RACQUEL HOLMSTROM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant5128-27WI

General Provider Information

NPI Number : 1124553003
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACQUEL HOLMSTROM
Provider Business Mailing Address
First Line : 19 W NEWTON ST
Second Line :
City : RICE LAKE
State : WI
Zip : 54868-1744
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19 W NEWTON ST
Second Line :
City : RICE LAKE
State : WI
Zip : 54868-1744
Country : US
Telephone Number : 715-234-2161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2017
Last Update Date : 04/27/2017

Similar Medicare Providers

1801892435 — FIRST AMERICAN ENTERPRISES, INC
Practice Location Address:
19 WEST NEWTON ST
RICE LAKE, WI
54868-1744
Practice Phone: 715-234-2161
Practice Fax: 715-234-1705
1659545879 — JACK ORRIN NELSON PT
Practice Location Address:
19 W NEWTON ST
RICE LAKE, WI
54868-1744
Practice Phone: 715-234-2161
Practice Fax:
1962678508 — RONALD LEE DUDASH MSCCCSLP
Practice Location Address:
19 W NEWTON ST
RICE LAKE, WI
54868-1744
Practice Phone: 715-234-2161
Practice Fax:
1265608483 — MS. SUSAN KAY WEISENBERGER OTR
Practice Location Address:
19 W NEWTON ST
RICE LAKE, WI
54868-1744
Practice Phone: 715-234-2161
Practice Fax:
1134504657 — AMANDA WALLER
Practice Location Address:
19 W NEWTON ST
RICE LAKE, WI
54868-1744
Practice Phone: 715-234-2161
Practice Fax:
1457806176 — HERITAGE RICE LAKE OPERATIONS LLC
Practice Location Address:
19 W NEWTON ST
RICE LAKE, WI
54868-1744
Practice Phone: 715-234-2161
Practice Fax: 715-234-1705

Directions to “ RACQUEL HOLMSTROM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.