Individual provider · Type 1 NPI

Rachel Rennicke

Specialist · Moorhead, MN

NPI number 1073204335 Active

Practice location

1547 30th Ave S
Moorhead, MN 56560-5149

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073204335

Rachel Rennicke's National Provider Identifier is 1073204335, issued on May 17, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Moorhead, MN. The record was last updated on Sep 18, 2026.