Provider Demographics
NPI:1346619251
Name:KIRMIS, RACHEL (ATC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:KIRMIS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13315 JAYNES PLZ
Mailing Address - Street 2:APT 308
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-1061
Mailing Address - Country:US
Mailing Address - Phone:402-943-7933
Mailing Address - Fax:
Practice Address - Street 1:13315 JAYNES PLZ
Practice Address - Street 2:APT 308
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-1061
Practice Address - Country:US
Practice Address - Phone:402-943-7933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7232255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer