Provider Demographics
NPI:1215829684
Name:IGNACIO, RACHEL KEKAIMALIE (OTD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:KEKAIMALIE
Last Name:IGNACIO
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 UNDERWOOD AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-2440
Mailing Address - Country:US
Mailing Address - Phone:808-494-7002
Mailing Address - Fax:
Practice Address - Street 1:4802 UNDERWOOD AVE APT 1
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68132-2440
Practice Address - Country:US
Practice Address - Phone:808-494-7002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist