Provider Demographics
NPI:1134818800
Name:KINDHART, RACHEL BLAIR
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:BLAIR
Last Name:KINDHART
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 1:5142 SOUTHWOOD AVE # A
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-4010
Mailing Address - Country:US
Mailing Address - Phone:618-309-1383
Mailing Address - Fax:
Practice Address - Street 1:1268 ELECTRIC AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-7498
Practice Address - Country:US
Practice Address - Phone:479-750-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program