Provider Demographics
NPI:1629682745
Name:FARMER, RACHEL EMMA (CHTP, LMT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:EMMA
Last Name:FARMER
Suffix:
Gender:F
Credentials:CHTP, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8200 ARISTA PL UNIT 314
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4115
Mailing Address - Country:US
Mailing Address - Phone:914-282-3322
Mailing Address - Fax:
Practice Address - Street 1:8200 ARISTA PL UNIT 314
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-4115
Practice Address - Country:US
Practice Address - Phone:914-282-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO83-1411693225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist