Provider Demographics
NPI:1558837203
Name:OSTROWSKI, RACHEL A (LMT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:OSTROWSKI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:A
Other - Last Name:CAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:2789 E MORELAND DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-3067
Mailing Address - Country:US
Mailing Address - Phone:614-547-9355
Mailing Address - Fax:
Practice Address - Street 1:144 E OLENTANGY ST
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9069
Practice Address - Country:US
Practice Address - Phone:614-547-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-21
Last Update Date:2018-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.022568225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist