Individual
MRS. RACHEL NICOLE MIRECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2727 N FERRY ST, ANOKA, MN 55303-1650
(763) 506-1000
Mailing address
2727 N FERRY ST, ANOKA, MN 55303-1650
(507) 313-1737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104915
MN
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932114
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/10/2008
Last updated
05/07/2026
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