Provider Demographics
NPI:1619510229
Name:WHITE, RACHAEL E (OTD, OTR/L, ATC, LAT)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:E
Last Name:WHITE
Suffix:
Gender:F
Credentials:OTD, OTR/L, ATC, LAT
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L, ATC, LAT
Mailing Address - Street 1:15205 PLANTATION OAKS DR APT 5
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2176
Mailing Address - Country:US
Mailing Address - Phone:813-375-1668
Mailing Address - Fax:
Practice Address - Street 1:2370 BRUCE B DOWNS BLVD STE 301
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-9215
Practice Address - Country:US
Practice Address - Phone:813-973-1033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-26
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL57932255A2300X
FLOT25665225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer