MEDICARE: RACHEL KAMIN OT

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
1	225XP0200X	Pediatric Occupational Therapist	2309	NV

General Provider Information

NPI Number	:	1881243889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL KAMIN OT

Provider Business Mailing Address
First Line	:	3136 HARBORSIDE DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2271
Country	:	US
Telephone Number	:	702-336-2329
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 PULLMAN POINTE CT
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-4821
Country	:	US
Telephone Number	:	702-262-0037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2019
Last Update Date	:	01/05/2026

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