Provider Demographics
NPI:1134994270
Name:HALE, RACHELE ANN (RD)
Entity type:Individual
Prefix:
First Name:RACHELE
Middle Name:ANN
Last Name:HALE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-2028
Mailing Address - Country:US
Mailing Address - Phone:814-290-9440
Mailing Address - Fax:
Practice Address - Street 1:1002 CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-2028
Practice Address - Country:US
Practice Address - Phone:814-290-9440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered