Rachel Bollheimer
Individual provider Active NPI Speech-Language Pathologist · Mantua, OH
NPI 1760074504 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1760074504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 11256 Bowen Rd
Mantua, OH 44255-9454 - Phone
- (330) 357-8204
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
11256 Bowen Rd
Mantua, OH 44255-9454
Mailing address
11256 Bowen Rd
Mantua, OH 44255-9454
Other practice location 1
10919 Main St
Mantua, OH 44255-8923
Phone (330) 357-8205
Other providers in Mantua, OH
- Edie Knowlton Benner
- Jillann Berns
- Tyler Best
- Deborah Y Bichsel
- Marissa Lilliana Biclawski
- Pamela Sue Braden
- Katherine Marie Bruyere
- Rosa Burdick
- Michaela Campbell
- McKenna Ashlynn Cava
All providers in Mantua, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.