Provider Demographics
NPI:1487890828
Name:HILLS, RACHEL ALYSSE (LMP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ALYSSE
Last Name:HILLS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30704 157TH PL SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-5543
Mailing Address - Country:US
Mailing Address - Phone:206-380-3722
Mailing Address - Fax:
Practice Address - Street 1:30704 157TH PL SE
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98042-5543
Practice Address - Country:US
Practice Address - Phone:206-380-3722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60065398225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist