Provider Demographics
NPI:1316442387
Name:REICHEL, RACHEL (ATC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:REICHEL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 12TH ST NW APT 210
Mailing Address - Street 2:
Mailing Address - City:VALLEY CITY
Mailing Address - State:ND
Mailing Address - Zip Code:58072-2042
Mailing Address - Country:US
Mailing Address - Phone:605-630-0686
Mailing Address - Fax:
Practice Address - Street 1:101 COLLEGE ST SW
Practice Address - Street 2:
Practice Address - City:VALLEY CITY
Practice Address - State:ND
Practice Address - Zip Code:58072-4024
Practice Address - Country:US
Practice Address - Phone:701-845-7177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND760-172255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer