Provider Demographics
NPI:1922981117
Name:SCOTT, RACHEL D
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:D
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 E PORTER ST
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:OH
Mailing Address - Zip Code:44644-9685
Mailing Address - Country:US
Mailing Address - Phone:330-933-1915
Mailing Address - Fax:330-933-1915
Practice Address - Street 1:524 E PORTER ST
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:OH
Practice Address - Zip Code:44644-9685
Practice Address - Country:US
Practice Address - Phone:330-933-1915
Practice Address - Fax:330-933-1915
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant