Provider Demographics
NPI:1255174744
Name:REDFORD, RACHAEL KRISTINE (AUD)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:KRISTINE
Last Name:REDFORD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 MEDICAL DR STE A202
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-4971
Mailing Address - Country:US
Mailing Address - Phone:801-298-4327
Mailing Address - Fax:801-298-4328
Practice Address - Street 1:415 MEDICAL DR STE A202
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-4971
Practice Address - Country:US
Practice Address - Phone:801-298-4327
Practice Address - Fax:801-298-4328
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5182000-4101237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter