Provider Demographics
NPI:1891564852
Name:KNIEFF, RACHEL KAY BRENNER (CNMT, CMLDT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:KAY BRENNER
Last Name:KNIEFF
Suffix:
Gender:F
Credentials:CNMT, CMLDT
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:912 MANOMIN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-1118
Mailing Address - Country:US
Mailing Address - Phone:651-216-1890
Mailing Address - Fax:
Practice Address - Street 1:3507 W 50TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-2124
Practice Address - Country:US
Practice Address - Phone:612-456-7096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist