Basic Information
Provider Information
NPI: 1386372563
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASPY
FirstName: RACHEL
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherLastNameType:  
Mailing Information
Address1: 7175 LONG BOAT DR
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462504136
CountryCode: US
TelephoneNumber: 3175295896
FaxNumber:  
Practice Location
Address1: 11570 E 126TH ST
Address2:  
City: FISHERS
State: IN
PostalCode: 460379592
CountryCode: US
TelephoneNumber: 3175790166
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/15/2022
LastUpdateDate: 08/15/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/15/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
224Z00000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant 

No ID Information.


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