Provider Demographics
NPI:1669631131
Name:GARCIA, RACHAEL ANGELINE (LMP)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:ANGELINE
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 BICKFORD AVE STE F
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-1738
Mailing Address - Country:US
Mailing Address - Phone:425-374-3249
Mailing Address - Fax:
Practice Address - Street 1:2701 BICKFORD AVE STE F
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-1738
Practice Address - Country:US
Practice Address - Phone:425-374-3249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00014825225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist