Provider Demographics
NPI:1184510976
Name:SPANFELLNER, RACHEL
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SPANFELLNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 COREY ST
Mailing Address - Street 2:
Mailing Address - City:CYGNET
Mailing Address - State:OH
Mailing Address - Zip Code:43413-9801
Mailing Address - Country:US
Mailing Address - Phone:567-213-1123
Mailing Address - Fax:567-213-1123
Practice Address - Street 1:135 COREY ST
Practice Address - Street 2:
Practice Address - City:CYGNET
Practice Address - State:OH
Practice Address - Zip Code:43413-9801
Practice Address - Country:US
Practice Address - Phone:567-213-1123
Practice Address - Fax:567-213-1123
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program