Rachel Koester

Individual provider Active NPI Speech-Language Pathologist · Spencerville, OH

NPI 1699224741 · NPPES record last updated Feb 23, 2018

Key facts

NPI
1699224741
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
10942 (OH)
Practice address
2500 Wisher Dr
Spencerville, OH 45887-1293
Phone
(419) 647-4113
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
10942OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen County Educational Service Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10942 OH Yes

Addresses

Primary practice location

2500 Wisher Dr
Spencerville, OH 45887-1293

Mailing address

1920 Slabtown Rd
Lima, OH 45801-3309
Phone (419) 222-1836

Other providers in Spencerville, OH

All providers in Spencerville, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.