Provider Demographics
NPI:1578230298
Name:BEISSEL, RACHAEL RENEE
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:RENEE
Last Name:BEISSEL
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 1:5011 142ND PATH W
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7708
Mailing Address - Country:US
Mailing Address - Phone:612-437-2803
Mailing Address - Fax:
Practice Address - Street 1:5011 142ND PATH W
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7708
Practice Address - Country:US
Practice Address - Phone:612-437-2803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist