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NPI Code Detail

MEDICARE: RACHEL ESSELSTROM

MEDICARE: RACHEL ESSELSTROM
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1538827134
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ESSELSTROM
Provider Business Mailing Address
First Line : 2740 SAINT ANDREWS DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-6684
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2740 SAINT ANDREWS DR
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-6684
Country : US
Telephone Number : 615-564-4984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2021
Last Update Date : 12/01/2021

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Directions to “ RACHEL ESSELSTROM ” Practice Location

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