Provider Demographics
NPI:1598166894
Name:KATCH, RACHEL K (ATC, LAT)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:K
Last Name:KATCH
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 JOHN OLDS DR APT 102
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-8789
Mailing Address - Country:US
Mailing Address - Phone:989-928-8040
Mailing Address - Fax:
Practice Address - Street 1:71 JOHN OLDS DR APT 102
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-8789
Practice Address - Country:US
Practice Address - Phone:989-928-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-06
Last Update Date:2014-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9652255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer