Provider Demographics
NPI:1427218080
Name:HARRIS, RACHEL (BM, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:BM, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7008 E MUSTANG FLYER WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-4982
Mailing Address - Country:US
Mailing Address - Phone:520-300-4484
Mailing Address - Fax:
Practice Address - Street 1:7008 E MUSTANG FLYER WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-4982
Practice Address - Country:US
Practice Address - Phone:520-300-4484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
07104225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist