Provider Demographics
NPI:1821449448
Name:MCCAFFERTY, RACHEL (MS, ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MCCAFFERTY
Suffix:
Gender:F
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6274 DEERHAVEN LN
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-8181
Mailing Address - Country:US
Mailing Address - Phone:330-612-7336
Mailing Address - Fax:
Practice Address - Street 1:6905 GIVEN RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-2839
Practice Address - Country:US
Practice Address - Phone:513-561-7298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer