Provider Demographics
NPI:1912160110
Name:HILDEBRAND, RACHEL A (LMP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:HILDEBRAND
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:A
Other - Last Name:GEIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMP
Mailing Address - Street 1:3809 N MONROE
Mailing Address - Street 2:HOUK CHIROPRACTIC CLINIC
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205
Mailing Address - Country:US
Mailing Address - Phone:509-326-3795
Mailing Address - Fax:509-325-7418
Practice Address - Street 1:3809 N MONROE
Practice Address - Street 2:HOUK CHIROPRACTIC CLINIC
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2853
Practice Address - Country:US
Practice Address - Phone:509-326-3795
Practice Address - Fax:509-325-7418
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00025212225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA00025212OtherWASHINGTON STATE LICENSE