Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XH1200X | Occupational Therapist - Hand | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1255917407 |
---|---|
Provider Name | Rachel Sipes |
First Address | Cheyenne, WY 82009-4162 |
Second Address | Cheyenne, WY 82009-7355 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2021 |
Last Update Date | 18/03/2021 |