Provider Demographics
NPI:1275265282
Name:SWACKHAMMER, RACHEL CATHERINE
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:CATHERINE
Last Name:SWACKHAMMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43145-9746
Mailing Address - Country:US
Mailing Address - Phone:614-620-2664
Mailing Address - Fax:
Practice Address - Street 1:225 W FRONT ST
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43145-9746
Practice Address - Country:US
Practice Address - Phone:614-620-2664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide