Healthcare Provider Details

I. General information

NPI: 1518781228
Provider Name (Legal Business Name): RACHEL TOWERS BROOKS ICBD, ICCE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2024
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7535 BEAVER RIDGE RD
KNOXVILLE TN
37931-3302
US

IV. Provider business mailing address

7535 BEAVER RIDGE RD
KNOXVILLE TN
37931-3302
US

V. Phone/Fax

Practice location:
  • Phone: 865-546-5577
  • Fax:
Mailing address:
  • Phone: 865-546-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: