Provider Demographics
NPI:1649552928
Name:SPRINGSTEAD, RACHEL BAILEY (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:BAILEY
Last Name:SPRINGSTEAD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17740 157TH TER
Mailing Address - Street 2:
Mailing Address - City:BONNER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66012-7354
Mailing Address - Country:US
Mailing Address - Phone:913-426-1529
Mailing Address - Fax:
Practice Address - Street 1:17740 157TH TER
Practice Address - Street 2:
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012-7354
Practice Address - Country:US
Practice Address - Phone:913-426-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-02633225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist