Provider Demographics
NPI:1508906348
Name:EISFELDER, RACHEL M (MOT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:EISFELDER
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2733
Mailing Address - Country:US
Mailing Address - Phone:816-404-6277
Mailing Address - Fax:816-404-6272
Practice Address - Street 1:2211 CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2733
Practice Address - Country:US
Practice Address - Phone:816-404-6277
Practice Address - Fax:816-404-6272
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01580225X00000X
MO2008002514225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist