Healthcare Provider Details

I. General information

NPI: 1356275234
Provider Name (Legal Business Name): RACHEAL KNIPHFER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 BALTIMORE CT APT M
AUGUSTA GA
30909-0039
US

IV. Provider business mailing address

2201 BALTIMORE CT APT M
AUGUSTA GA
30909-0039
US

V. Phone/Fax

Practice location:
  • Phone: 803-341-5365
  • Fax:
Mailing address:
  • Phone: 803-341-5365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT012257
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: