Provider Demographics
NPI:1780634030
Name:BRITTAIN-SHIPLEY, RACHEL A (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:BRITTAIN-SHIPLEY
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:A
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSOTR/L
Mailing Address - Street 1:260 RITTER AVE NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-2237
Mailing Address - Country:US
Mailing Address - Phone:423-839-5250
Mailing Address - Fax:
Practice Address - Street 1:436A W 1ST NORTH ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-4641
Practice Address - Country:US
Practice Address - Phone:423-586-1214
Practice Address - Fax:423-587-8136
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21821225X00000X
TN3579225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist