| NPI | 1538448014 |
|---|---|
| Former Name | RACHELLE AILEEN AVALOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0019676) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2022-03-11 |