Rachel Marie Theisen

NPI #1093424178 in Plymouth, Minnesota

Provider Information

NPI Number: 1093424178
Entity Type: Individual
Name: Rachel Marie Theisen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 17, 2022
Last Updated: Nov 17, 2022

Practice Location

Address: 3007 HARBOR LANE NORTH
Address 2: SUITE 1200
City: Plymouth
State: Minnesota
ZIP Code: 55447-5138
Phone: (612) 453-3412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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