Rachel Marie Southard

Individual provider Active NPI Massage Therapist · Millersport, OH

NPI 1578437604 · NPPES record last updated Oct 1, 2025

Key facts

NPI
1578437604
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
33.027484 (OH)
Practice address
10400 Lancaster Newark Rd NE # SR37
Millersport, OH 43046-8003
Phone
(740) 467-2486
Fax
(740) 467-2498
NPI assigned
Oct 1, 2025
Sex
Female
Sole proprietor
Yes

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
33.027484OHMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 33.027484 OH Yes

Addresses

Primary practice location

10400 Lancaster Newark Rd NE # SR37
Millersport, OH 43046-8003

Mailing address

10400 Lancaster Newark Rd NE # SR37
Millersport, OH 43046-8003
Phone (740) 467-2486

Other providers in Millersport, OH

All providers in Millersport, OH · Massage Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.