Provider Demographics
NPI:1841411451
Name:HILDEBRAND, RACHEL ANN (ATC)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:ANN
Last Name:HILDEBRAND
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BISHOPSGATE DR.
Mailing Address - Street 2:APT. 214
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246
Mailing Address - Country:US
Mailing Address - Phone:513-200-3444
Mailing Address - Fax:
Practice Address - Street 1:3800 VICTORY PARKWAY
Practice Address - Street 2:ATHLETIC DEPARTMENT
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207
Practice Address - Country:US
Practice Address - Phone:513-745-4208
Practice Address - Fax:513-745-1963
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT 002721174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist