MEDICARE: RACHEL FRONCK MT

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	2012-2968	WV

General Provider Information

NPI Number	:	1912523630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL FRONCK MT

Provider Business Mailing Address
First Line	:	1636 ROCK CLIFF DR
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-3274
Country	:	US
Telephone Number	:	304-671-0562
Fax Number	:

Provider Business Practice Location Address
First Line	:	1636 ROCK CLIFF DR
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-3274
Country	:	US
Telephone Number	:	304-737-8151
Fax Number	:

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

Provider Enumeration Date	:	06/18/2020
Last Update Date	:	06/18/2020

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Directions to “ RACHEL FRONCK MT” Practice Location

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