Individual
MRS. RACHEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
945 W RUSSELL ST, ELKHORN CITY, KY 41522-9032
(606) 754-4134
Mailing address
PO BOX 298, GRUNDY, VA 24614-0298
(276) 935-7207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202005875
VA
235Z00000X
Speech-Language Pathologist
Primary
KY-3604
KY
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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