Healthcare Provider Details

I. General information

NPI: 1003592338
Provider Name (Legal Business Name): RACHEL LORETTA SPELZ AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 02/15/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 COLUMBIA ST NW STE 108
OLYMPIA WA
98501-4447
US

IV. Provider business mailing address

9730 3RD AVE NE STE 201
SEATTLE WA
98115-2023
US

V. Phone/Fax

Practice location:
  • Phone: 360-754-0305
  • Fax: 360-596-9304
Mailing address:
  • Phone: 206-367-1345
  • Fax: 206-367-1366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD61518145
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberLD61518145
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAY2728
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: