Provider Demographics
NPI:1750145660
Name:KOPACESKI, RACHAEL NOEL (DOULA)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:NOEL
Last Name:KOPACESKI
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 TOLLIVER RD
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:TN
Mailing Address - Zip Code:37820-3206
Mailing Address - Country:US
Mailing Address - Phone:865-507-9963
Mailing Address - Fax:
Practice Address - Street 1:2224 TOLLIVER RD
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:TN
Practice Address - Zip Code:37820-3206
Practice Address - Country:US
Practice Address - Phone:865-507-9963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula