Provider Demographics
NPI:1093439580
Name:LUYMES, RACHEL EMMA (RD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:EMMA
Last Name:LUYMES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 CORA ST SE APT 302
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98503-2373
Mailing Address - Country:US
Mailing Address - Phone:760-805-2146
Mailing Address - Fax:
Practice Address - Street 1:905 24TH WAY SW STE B3
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-6033
Practice Address - Country:US
Practice Address - Phone:360-754-2936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA86303528133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered