Provider Demographics
NPI:1902120975
Name:HOCHGRABER, RACHELLE KIMBERLY (MS, RD, LD, CLT)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:KIMBERLY
Last Name:HOCHGRABER
Suffix:
Gender:F
Credentials:MS, RD, LD, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 N BLUE JAY DR
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068
Mailing Address - Country:US
Mailing Address - Phone:816-792-3210
Mailing Address - Fax:816-792-1115
Practice Address - Street 1:109 N BLUE JAY DR
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-1906
Practice Address - Country:US
Practice Address - Phone:816-792-3210
Practice Address - Fax:816-792-1115
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007027377133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered