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NPI Code Detail

MEDICARE: RACHEL GARRETT

MEDICARE:   RACHEL  GARRETT
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 Pathologist3908 - 154WI

General Provider Information

NPI Number : 1467880849
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL GARRETT
Provider Business Mailing Address
First Line : 9350 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53225-1714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9350 W FOND DU LAC AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53225-1714
Country : US
Telephone Number : 414-393-4614
Fax Number : 414-353-3881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2013
Last Update Date : 10/23/2013

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Directions to “ RACHEL GARRETT ” Practice Location

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