Provider Demographics
NPI:1073860078
Name:HAYS, RACHEL IDELL (COTA/L)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:IDELL
Last Name:HAYS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12180 W CAMPER RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-7805
Mailing Address - Country:US
Mailing Address - Phone:520-696-8861
Mailing Address - Fax:520-690-2405
Practice Address - Street 1:12180 W CAMPER RD UNIT 2
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7805
Practice Address - Country:US
Practice Address - Phone:520-696-8861
Practice Address - Fax:520-690-2405
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5163224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant