MEDICARE: RACHEL L SMITH 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
1	225700000X	Massage Therapist	127964	TX

General Provider Information

NPI Number	:	1508455981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL L SMITH LMT

Provider Business Mailing Address
First Line	:	9587 ASH CREEK DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-3771
Country	:	US
Telephone Number	:	972-821-1439
Fax Number	:

Provider Business Practice Location Address
First Line	:	9587 ASH CREEK DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75228-3771
Country	:	US
Telephone Number	:	972-821-1439
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	01/11/2021

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Directions to “ RACHEL L SMITH LMT” Practice Location

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