Provider Demographics
NPI:1386804276
Name:BESENYODY, RACHEL (LMP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BESENYODY
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:BURCHETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:624 W HASTINGS RD STE 16
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2877
Mailing Address - Country:US
Mailing Address - Phone:509-998-1330
Mailing Address - Fax:509-242-1170
Practice Address - Street 1:624 W HASTINGS RD STE 16
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2877
Practice Address - Country:US
Practice Address - Phone:509-998-1330
Practice Address - Fax:509-242-1170
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00020855174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist