Provider Demographics
NPI:1508588682
Name:RAKOW, MERCY RUTH (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:MERCY
Middle Name:RUTH
Last Name:RAKOW
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18756 202ND CIR
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-5645
Mailing Address - Country:US
Mailing Address - Phone:320-552-1276
Mailing Address - Fax:
Practice Address - Street 1:201 E LINCOLN ST STE I
Practice Address - Street 2:
Practice Address - City:LINDSBORG
Practice Address - State:KS
Practice Address - Zip Code:67456-2406
Practice Address - Country:US
Practice Address - Phone:785-546-0665
Practice Address - Fax:866-473-0308
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-03722225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist