Provider Demographics
NPI:1164793865
Name:STUDLEY, RACHEL CHRISTINE
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:CHRISTINE
Last Name:STUDLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 S 212TH CT
Mailing Address - Street 2:APT C
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98198-4233
Mailing Address - Country:US
Mailing Address - Phone:253-569-2222
Mailing Address - Fax:
Practice Address - Street 1:4701 AUBURN WAY N
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-1312
Practice Address - Country:US
Practice Address - Phone:253-850-2225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60170335225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist