Individual
RACHEL L MCINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/CCC-SLP
Contact information
Practice address
500 GRANT AVE, OMRO, WI 54963-1342
(920) 246-5076
Mailing address
W336 ALPINE DR # DE, DE PERE, WI 54115-8918
(920) 246-5076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3041-154
WI
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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