Provider Demographics
NPI:1265016836
Name:MUICH, RACHEL KATHRYN (LAC)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:KATHRYN
Last Name:MUICH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 N EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3706
Mailing Address - Country:US
Mailing Address - Phone:314-791-1436
Mailing Address - Fax:
Practice Address - Street 1:435 N EMERSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3706
Practice Address - Country:US
Practice Address - Phone:314-791-1436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist