Provider Demographics
NPI:1437360658
Name:FOLTZ, RACHEL BROOK (LMT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:BROOK
Last Name:FOLTZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3046 ROUND HILL CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:41017-2675
Mailing Address - Country:US
Mailing Address - Phone:859-760-7569
Mailing Address - Fax:
Practice Address - Street 1:71 CAVALIER BLVD
Practice Address - Street 2:#109
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-5121
Practice Address - Country:US
Practice Address - Phone:859-760-7569
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0203225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist