1114471752 NPI number — MRS. RACHEL CARINA ALEXANDER L.M.T.

Table of content: MRS. RACHEL CARINA ALEXANDER L.M.T. (NPI 1114471752)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114471752 NPI number — MRS. RACHEL CARINA ALEXANDER L.M.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALEXANDER
Provider First Name:
RACHEL
Provider Middle Name:
CARINA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.M.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FINLEY
Provider Other First Name:
RACHEL
Provider Other Middle Name:
CARINA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
L.M.T.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1114471752
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1046 W 26TH AVE APT 302
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99503-2402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-310-0464
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11508 LOWER SUNNY CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAGLE RIVER
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99577-7843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-310-0464
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/11/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  101855 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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