Provider Demographics
NPI:1982855912
Name:NOWAKOWSKI, RACHEL (L AC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:NOWAKOWSKI
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 MONTFORD AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1051
Mailing Address - Country:US
Mailing Address - Phone:828-258-9016
Mailing Address - Fax:828-254-9720
Practice Address - Street 1:369 MONTFORD AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1051
Practice Address - Country:US
Practice Address - Phone:828-258-9016
Practice Address - Fax:828-254-9720
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC160171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist