Healthcare Provider Details

I. General information

NPI: 1336960087
Provider Name (Legal Business Name): RACHEL E PAYNE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 10/24/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 PLYMOUTH ST UNIT 5
CENTER HARBOR NH
03226-3629
US

IV. Provider business mailing address

34 PLYMOUTH ST UNIT 5
CENTER HARBOR NH
03226-3629
US

V. Phone/Fax

Practice location:
  • Phone: 603-393-2630
  • Fax:
Mailing address:
  • Phone: 603-393-2630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number3955
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: