Provider Demographics
NPI:1104104926
Name:SMITH, RACHEL (MA, MT-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10430 MORADO CIR APT 1734
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5668
Mailing Address - Country:US
Mailing Address - Phone:319-461-3655
Mailing Address - Fax:
Practice Address - Street 1:10430 MORADO CIR APT 1734
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5668
Practice Address - Country:US
Practice Address - Phone:319-461-3655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist