| NPI | 1477142073 |
|---|---|
| Former Name | RACHELLE HACOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: AL 5561) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CA 00991701) |
| 374U00000X Home Health Aide (Licence: CA 00991701) | |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |