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NPI Code Detail

MEDICARE: RACHAEL KING

MEDICARE:   RACHAEL  KING
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
12355S0801XSpeech-Language AssistantSLPA17036AZ

General Provider Information

NPI Number : 1417807066
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL KING
Provider Business Mailing Address
First Line : 2445 S ESTRELLA PKWY APT 2011
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-0082
Country : US
Telephone Number : 510-598-0471
Fax Number :
Provider Business Practice Location Address
First Line : 4545 N 36TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-3462
Country : US
Telephone Number : 602-224-0202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ RACHAEL KING ” Practice Location

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