Provider Demographics
NPI:1336960087
Name:PAYNE, RACHEL E (LMT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:PAYNE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 PLYMOUTH ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:CENTER HARBOR
Mailing Address - State:NH
Mailing Address - Zip Code:03226-3629
Mailing Address - Country:US
Mailing Address - Phone:603-393-2630
Mailing Address - Fax:
Practice Address - Street 1:34 PLYMOUTH ST UNIT 5
Practice Address - Street 2:
Practice Address - City:CENTER HARBOR
Practice Address - State:NH
Practice Address - Zip Code:03226-3629
Practice Address - Country:US
Practice Address - Phone:603-393-2630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3955225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist