Provider Demographics
NPI:1760933295
Name:CASSINAT, RACHEL (MS, RD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CASSINAT
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 N MARGARET AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-2721
Mailing Address - Country:US
Mailing Address - Phone:480-258-2983
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:RM 0430
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-5088
Practice Address - Country:US
Practice Address - Phone:520-694-4697
Practice Address - Fax:520-694-0219
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered