Healthcare Provider Details

I. General information

NPI: 1689585721
Provider Name (Legal Business Name): RACHEL DICKMAN ROBLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 W GAGE BLVD
KENNEWICK WA
99336-8105
US

IV. Provider business mailing address

2403 CONCORD ST
RICHLAND WA
99352-4019
US

V. Phone/Fax

Practice location:
  • Phone: 509-378-9142
  • Fax:
Mailing address:
  • Phone: 509-948-0960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA.60179141
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: