Provider Demographics
NPI:1184073512
Name:STELLMACH, RACHEL (RN, LMT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:STELLMACH
Suffix:
Gender:F
Credentials:RN, LMT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:GOOGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, LMT
Mailing Address - Street 1:4 FUNDY RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1777
Mailing Address - Country:US
Mailing Address - Phone:207-781-2370
Mailing Address - Fax:
Practice Address - Street 1:4 FUNDY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1777
Practice Address - Country:US
Practice Address - Phone:207-781-2370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMT4330225700000X
MERN63317163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist