Provider Demographics
NPI:1730693128
Name:NORTON, RACHAEL D (MS, OTR, LDRS)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:D
Last Name:NORTON
Suffix:
Gender:F
Credentials:MS, OTR, LDRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 S WOODSCREST DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-5314
Mailing Address - Country:US
Mailing Address - Phone:812-353-5534
Mailing Address - Fax:
Practice Address - Street 1:2605 E CREEKS EDGE DR
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-8368
Practice Address - Country:US
Practice Address - Phone:812-353-3343
Practice Address - Fax:812-353-3346
Is Sole Proprietor?:No
Enumeration Date:2017-11-22
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000992A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist