Provider Demographics
NPI:1477948602
Name:MORAVEK, RACHEAL (RRT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEAL
Middle Name:
Last Name:MORAVEK
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 48TH PL
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-2503
Mailing Address - Country:US
Mailing Address - Phone:515-577-6125
Mailing Address - Fax:
Practice Address - Street 1:2400 48TH PL
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-2503
Practice Address - Country:US
Practice Address - Phone:515-577-6125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002922227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered