Provider Demographics
NPI:1750060786
Name:KNABE, RACHEL E (OT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:KNABE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:E
Other - Last Name:DAUSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:BELOIT MEMORIAL HOSPTIAL
Mailing Address - Street 2:1969 W HART ROAD
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511
Mailing Address - Country:US
Mailing Address - Phone:608-364-5173
Mailing Address - Fax:608-363-5790
Practice Address - Street 1:BELOIT MEMORIAL HOSPTIAL
Practice Address - Street 2:1969 W HART ROAD
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511
Practice Address - Country:US
Practice Address - Phone:608-364-5173
Practice Address - Fax:608-363-5790
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7185-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist