MEDICARE: RACHEL RUBALCABA 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
1	225700000X	Massage Therapist	MT135199	TX

General Provider Information

NPI Number	:	1427825827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL RUBALCABA LMT

Provider Business Mailing Address
First Line	:	3101 HOBBS RD STE 114
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79109-3255
Country	:	US
Telephone Number	:	806-382-8389
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 HOBBS RD STE 114
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79109-3255
Country	:	US
Telephone Number	:	806-382-8389
Fax Number	:

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

Provider Enumeration Date	:	12/06/2023
Last Update Date	:	12/11/2023

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