Rachelle Marie Williams, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00016587 Issued in WA

Practice address

4215 Convention PL Ste B
Pasco, WA 99301-8148

Phone

(509) 545-1010

Fax

(509) 545-1112

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1346478294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 CONVENTION PL STE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018148",
            "telephone_number": "509-947-7005",
            "fax_number": "509-545-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 CONVENTION PL STE B",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018148",
            "telephone_number": "509-545-1010",
            "fax_number": "509-545-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RACHELLE",
        "middle_name": "MARIE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00016587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "MA00016587",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La'Ticia Wilks
• Kate Willer, OTR
• Bailey Williams, RPH
• Kirk C Williams, DDS
• Nakia Williams
• Bonnie R Wilson, CDPT.CO.61645756
• Kileigh Wimer, M.S. CCC-SLP
• Gerald L Wodtli, O.D.
• Nicole Robison Wolfgramm, D.D.S.
• Kelly Woodward Core, M.A.

• Massage Therapist in Pasco, WA
• Providers in Pasco, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.