Provider Demographics
NPI:1346011996
Name:PERRY, RACHAEL LYNN
Entity Type:Individual
Prefix:MISS
First Name:RACHAEL
Middle Name:LYNN
Last Name:PERRY
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 1:516 COTILLION CT
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-7732
Mailing Address - Country:US
Mailing Address - Phone:513-263-0832
Mailing Address - Fax:
Practice Address - Street 1:516 COTILLION CT
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-7732
Practice Address - Country:US
Practice Address - Phone:513-263-0832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care