Racquel Logan, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

PENDING Issued in CA

Practice address

653 E Campbell Ave Ste 5
Campbell, CA 95008-2143

Phone

(408) 313-6909

NPI assigned

Jul 8, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Racquel Sidhu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1700198785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 LORELEI CT",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081716",
            "telephone_number": "408-313-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 E CAMPBELL AVE STE 5",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082143",
            "telephone_number": "408-313-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "RACQUEL",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACQUEL",
            "last_name": "SIDHU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Christina Lloyd, M.S.
• Ruby Chuan Lo, M.D.
• Elizabeth Locatelli
• Cheryl L Locke, D.C.
• Gerardo Loera
• Lindsay Margaret Loguercio
• Mindy Loh, OD
• Leslie Loi
• Angelina Lombardi, RBT
• Evelyn Lomio

• Massage Therapist in Campbell, CA
• Providers in Campbell, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.