Provider Demographics
NPI:1265685531
Name:COLTHORP, RACHEL D (LAC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:D
Last Name:COLTHORP
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 S LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-2534
Mailing Address - Country:US
Mailing Address - Phone:360-460-2227
Mailing Address - Fax:
Practice Address - Street 1:2614 S LAUREL ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-2534
Practice Address - Country:US
Practice Address - Phone:360-460-2227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC00002422171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist