Healthcare Provider Details

I. General information

NPI: 1710782537
Provider Name (Legal Business Name): RACHEL A SKOLNICK LMT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4264 PACIFIC HWY
BELLINGHAM WA
98226-9042
US

IV. Provider business mailing address

2516 CEDARWOOD AVE
BELLINGHAM WA
98225-1405
US

V. Phone/Fax

Practice location:
  • Phone: 360-393-0783
  • Fax:
Mailing address:
  • Phone: 801-573-3508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number61593403
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: