Provider Demographics
NPI:1205108362
Name:MCNINCH, RACHEL (RRT, AE-C)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MCNINCH
Suffix:
Gender:F
Credentials:RRT, AE-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8170 W SAHARA AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1981
Mailing Address - Country:US
Mailing Address - Phone:702-891-5003
Mailing Address - Fax:702-891-5009
Practice Address - Street 1:8170 W SAHARA AVE STE 104
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1981
Practice Address - Country:US
Practice Address - Phone:702-891-5003
Practice Address - Fax:702-891-5009
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRC20782279E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEducational