Healthcare Provider Details

I. General information

NPI: 1487589453
Provider Name (Legal Business Name): RACHELLE CORTINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W RAY RD STE 1-2
CHANDLER AZ
85225-7284
US

IV. Provider business mailing address

PO BOX 8014
CHANDLER AZ
85246-8014
US

V. Phone/Fax

Practice location:
  • Phone: 480-296-2363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number18953
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: