Provider Demographics
NPI:1942561097
Name:GLADHART, RACHAEL MARIE
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:MARIE
Last Name:GLADHART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:KS
Mailing Address - Zip Code:66434-2104
Mailing Address - Country:US
Mailing Address - Phone:785-741-5687
Mailing Address - Fax:
Practice Address - Street 1:211 N 5TH ST
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:KS
Practice Address - Zip Code:66434-2104
Practice Address - Country:US
Practice Address - Phone:785-741-5687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator