Provider Demographics
NPI:1427337427
Name:ADAMS, RACHEL L (LMP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:425 N COLUMBIA CENTER BLVD
Mailing Address - Street 2:N 111
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7716
Mailing Address - Country:US
Mailing Address - Phone:509-438-3696
Mailing Address - Fax:
Practice Address - Street 1:4791 W VAN GIESEN ST
Practice Address - Street 2:SUITE B
Practice Address - City:WEST RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99353-5085
Practice Address - Country:US
Practice Address - Phone:509-967-2225
Practice Address - Fax:509-967-2900
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00022780225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist