Provider Demographics
NPI:1033730973
Name:LOO, RACHEL E (ATC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:LOO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:95-1200 MEHEULA PKWY
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1799
Mailing Address - Country:US
Mailing Address - Phone:808-307-4200
Mailing Address - Fax:808-627-7375
Practice Address - Street 1:95-1200 MEHEULA PKWY
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1799
Practice Address - Country:US
Practice Address - Phone:808-307-4200
Practice Address - Fax:808-627-7375
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer