Provider Demographics
NPI:1841640091
Name:FIRL, RACHAEL (BC-HID)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:FIRL
Suffix:
Gender:F
Credentials:BC-HID
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:STOEBE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6700 WASHINGTON AVE S.
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344
Mailing Address - Country:US
Mailing Address - Phone:800-328-8602
Mailing Address - Fax:
Practice Address - Street 1:205 LEWIS ST. S.
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379
Practice Address - Country:US
Practice Address - Phone:320-864-6106
Practice Address - Fax:503-659-5968
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2791237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist