Provider Demographics
NPI:1013371947
Name:TINSLEY, RACHEL ELAINE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELAINE
Last Name:TINSLEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-804 IHO PL APT E
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2628
Mailing Address - Country:US
Mailing Address - Phone:850-774-0205
Mailing Address - Fax:
Practice Address - Street 1:98-804 IHO PL APT E
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-2628
Practice Address - Country:US
Practice Address - Phone:850-774-0205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOT-2058225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics