Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | 174243 | OK |
NPI | 1013556299 |
---|---|
Provider Name | Rachel Schobert |
First Address | Edmond, OK 73034 |
Second Address | Edmond, OK 73034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2020 |
Last Update Date | 05/01/2020 |