Provider Demographics
NPI:1639717226
Name:TRAYLOR, RACHEL ALEXANDRIA (MS, RDN, CD)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ALEXANDRIA
Last Name:TRAYLOR
Suffix:
Gender:F
Credentials:MS, RDN, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9118 N SUNDANCE DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9172
Mailing Address - Country:US
Mailing Address - Phone:509-294-0949
Mailing Address - Fax:
Practice Address - Street 1:1403 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-7023
Practice Address - Country:US
Practice Address - Phone:509-294-0949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-15
Last Update Date:2019-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA86003835133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered