Provider Demographics
NPI:1205687324
Name:BARTLETT MESSICK, RACHEL (LM, CPM)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:BARTLETT MESSICK
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4648 HERIN DR
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-9018
Mailing Address - Country:US
Mailing Address - Phone:386-405-0044
Mailing Address - Fax:
Practice Address - Street 1:4648 HERIN DR
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-9018
Practice Address - Country:US
Practice Address - Phone:386-405-0044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW462176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife