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NPI Code Detail

MEDICARE: RACHEL CROWDER

MEDICARE: RACHEL CROWDER
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1972083038
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL CROWDER
Provider Business Mailing Address
First Line : 6121 LAKE FREEMAN DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-6913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10340 PLEASANT ST STE 100
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-3947
Country : US
Telephone Number : 317-776-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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Directions to “ RACHEL CROWDER ” Practice Location

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