Provider Demographics
NPI:1093490815
Name:GUGGENHEIM, RACHEL (MS, RDN, LD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:GUGGENHEIM
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6794 DAWSON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2448
Mailing Address - Country:US
Mailing Address - Phone:317-616-8325
Mailing Address - Fax:
Practice Address - Street 1:5205 CONGRESS AVE APT 700
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-3960
Practice Address - Country:US
Practice Address - Phone:317-616-8325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12231133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered