Provider Demographics
NPI:1255984035
Name:MASSER, RACHEL LYN (MS, RDN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYN
Last Name:MASSER
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 E OSBORN RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-7036
Mailing Address - Country:US
Mailing Address - Phone:480-433-4174
Mailing Address - Fax:
Practice Address - Street 1:2810 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-8010
Practice Address - Country:US
Practice Address - Phone:480-433-4174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered