Provider Demographics
NPI:1558186239
Name:CAIRNS, RACHEL DAWN (LMT, RDMS)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:DAWN
Last Name:CAIRNS
Suffix:
Gender:F
Credentials:LMT, RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21570 STATE ROUTE 93 S
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-8840
Mailing Address - Country:US
Mailing Address - Phone:740-603-1440
Mailing Address - Fax:
Practice Address - Street 1:12892 GREY ST
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-9638
Practice Address - Country:US
Practice Address - Phone:740-603-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.020693225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist