Provider Demographics
NPI:1982564894
Name:HENKE, RACHEL LEE (COTA)
Entity type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:LEE
Last Name:HENKE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1867 N RESEARCH DR
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-8835
Mailing Address - Country:US
Mailing Address - Phone:419-354-9010
Mailing Address - Fax:
Practice Address - Street 1:600 LEMOYNE RD
Practice Address - Street 2:
Practice Address - City:NORTHWOOD
Practice Address - State:OH
Practice Address - Zip Code:43619-1812
Practice Address - Country:US
Practice Address - Phone:419-691-3888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant