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NPI Code Detail

MEDICARE: RACHEL L MCINNIS MS/CCC-SLP

MEDICARE:   RACHEL L MCINNIS  MS/CCC-SLP
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
1235Z00000XSpeech-Language Pathologist3041-154WI

General Provider Information

NPI Number : 1437397437
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL L MCINNIS MS/CCC-SLP
Provider Business Mailing Address
First Line : W336 ALPINE DR # DE
Second Line :
City : DE PERE
State : WI
Zip : 54115-8918
Country : US
Telephone Number : 920-246-5076
Fax Number :
Provider Business Practice Location Address
First Line : 500 GRANT AVE
Second Line :
City : OMRO
State : WI
Zip : 54963-1342
Country : US
Telephone Number : 920-246-5076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2009
Last Update Date : 01/29/2009

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Directions to “ RACHEL L MCINNIS MS/CCC-SLP” Practice Location

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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.