Provider Demographics
NPI:1215211735
Name:THOMAS, RACHEL RACHO (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:RACHO
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:KRISTINE
Other - Last Name:RACHO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:3402 SW MORNING STAR RD
Mailing Address - Street 2:UNIT #2
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-7354
Mailing Address - Country:US
Mailing Address - Phone:817-291-7909
Mailing Address - Fax:
Practice Address - Street 1:500 W WALNUT ST
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3774
Practice Address - Country:US
Practice Address - Phone:479-636-3910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist