Provider Demographics
NPI:1760967129
Name:CROWLEY, RACHEL (NMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10888 E KAREN DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-1817
Mailing Address - Country:US
Mailing Address - Phone:480-694-2557
Mailing Address - Fax:
Practice Address - Street 1:10888 E KAREN DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-1817
Practice Address - Country:US
Practice Address - Phone:480-694-2557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18-1742175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath