Provider Demographics
NPI:1073935656
Name:ARNOLD, RACHAEL (LMT)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 MAIN ST
Mailing Address - Street 2:SUITE 412
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3264
Mailing Address - Country:US
Mailing Address - Phone:413-522-5675
Mailing Address - Fax:
Practice Address - Street 1:278 MAIN ST
Practice Address - Street 2:SUITE 412
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3264
Practice Address - Country:US
Practice Address - Phone:413-522-5675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMT 3533-MT225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist