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NPI Code Detail

MEDICARE: RACHEL ILENE WOLSEY LMT

MEDICARE: RACHEL ILENE WOLSEY LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist12201491-4701UT

General Provider Information

NPI Number : 1215619820
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ILENE WOLSEY LMT
Provider Business Mailing Address
First Line : 987 W 4375 S UNIT B
Second Line :
City : OGDEN
State : UT
Zip : 84405-3446
Country : US
Telephone Number : 801-636-4192
Fax Number :
Provider Business Practice Location Address
First Line : 2348 KIESEL AVE
Second Line :
City : OGDEN
State : UT
Zip : 84401-1964
Country : US
Telephone Number : 801-528-5066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2023
Last Update Date : 08/02/2023

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Directions to “ RACHEL ILENE WOLSEY LMT” Practice Location

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