Provider Demographics
NPI:1770089641
Name:DIRKX, RACHAEL (PA-C)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:DIRKX
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:REICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9170
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50306-9170
Mailing Address - Country:US
Mailing Address - Phone:515-633-3600
Mailing Address - Fax:515-633-3838
Practice Address - Street 1:405 S CLARK ST STE 205
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-3047
Practice Address - Country:US
Practice Address - Phone:712-792-6500
Practice Address - Fax:515-246-4481
Is Sole Proprietor?:No
Enumeration Date:2018-04-01
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601008652363A00000X
IA110533363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant