Rachel Danelle Axtell

Individual provider Active NPI Massage Therapist · Washougal, WA

NPI 1265906804 · NPPES record last updated Jan 16, 2019

Key facts

NPI
1265906804
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
60914080 (WA)
Practice address
3542 P St
Washougal, WA 98671-5215
Phone
(360) 823-2225
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
60914080WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 60914080 WA Yes

Addresses

Primary practice location

3542 P St
Washougal, WA 98671-5215

Mailing address

3542 P St
Washougal, WA 98671-5215
Phone (360) 823-2225

Other providers in Washougal, WA

All providers in Washougal, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.