Provider Demographics
NPI:1962021303
Name:CURTIS, RACHAEL (LMT)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:CURTIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 S RAPID CREEK ST
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-0315
Mailing Address - Country:US
Mailing Address - Phone:775-622-2740
Mailing Address - Fax:
Practice Address - Street 1:3050 S RAPID CREEK ST
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-0315
Practice Address - Country:US
Practice Address - Phone:775-622-2740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2172132225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty