Provider Demographics
NPI:1538998166
Name:MAPLE, RACHEL ERIN (SLPA)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ERIN
Last Name:MAPLE
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3593 E 400 S
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-9729
Mailing Address - Country:US
Mailing Address - Phone:765-438-0204
Mailing Address - Fax:
Practice Address - Street 1:3593 E 400 S
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-9729
Practice Address - Country:US
Practice Address - Phone:765-438-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist