Provider Demographics
NPI:1114471752
Name:ALEXANDER, RACHEL CARINA (LMT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CARINA
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:CARINA
Other - Last Name:FINLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:1046 W 26TH AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2402
Mailing Address - Country:US
Mailing Address - Phone:907-310-0464
Mailing Address - Fax:
Practice Address - Street 1:11508 LOWER SUNNY CIR
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7843
Practice Address - Country:US
Practice Address - Phone:907-310-0464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK101855225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist