MEDICARE: RACHAEL E SCOTT

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
1	225700000X	Massage Therapist	MA00020214	WA

General Provider Information

NPI Number	:	1417093311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL E SCOTT

Provider Business Mailing Address
First Line	:	3005 ALDERWOOD MALL PKWY
Second Line	:	SUITE 100
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6920
Country	:	US
Telephone Number	:	206-406-1659
Fax Number	:	425-771-2425

Provider Business Practice Location Address
First Line	:	3005 ALDERWOOD MALL PKWY
Second Line	:	SUITE 100
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6920
Country	:	US
Telephone Number	:	206-406-1659
Fax Number	:	425-771-2425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	02/01/2017

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Directions to “ RACHAEL E SCOTT ” Practice Location

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