Provider Demographics
NPI:1881158780
Name:MARCH, RACHEL (CTRS,BS,ISC,QIDP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MARCH
Suffix:
Gender:F
Credentials:CTRS,BS,ISC,QIDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 E HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-3531
Mailing Address - Country:US
Mailing Address - Phone:734-652-3307
Mailing Address - Fax:
Practice Address - Street 1:2108 E HUDSON AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-3531
Practice Address - Country:US
Practice Address - Phone:734-652-3307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-24
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
81420225800000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist