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NPI Code Detail

MEDICARE: RACHEL JOY OSTERLAND LMT

MEDICARE: RACHEL JOY OSTERLAND LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist33.020437-N-ROH

General Provider Information

NPI Number : 1184971350
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL JOY OSTERLAND LMT
Provider Business Mailing Address
First Line : 155 NORTHLAND DR
Second Line :
City : MEDINA
State : OH
Zip : 44256-1534
Country : US
Telephone Number : 330-723-1441
Fax Number : 330-723-1881
Provider Business Practice Location Address
First Line : 155 NORTHLAND DR
Second Line :
City : MEDINA
State : OH
Zip : 44256-1534
Country : US
Telephone Number : 330-723-1441
Fax Number : 330-723-1881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2012
Last Update Date : 08/07/2012

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Directions to “ RACHEL JOY OSTERLAND LMT” Practice Location

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