Provider Demographics
NPI:1144091406
Name:ROYLANCE, RACHEL LYNNE (MS, ATC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNNE
Last Name:ROYLANCE
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LYNNE
Other - Last Name:TUSTIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:743 ELDORADO BLVD APT 2425
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8854
Mailing Address - Country:US
Mailing Address - Phone:208-240-2140
Mailing Address - Fax:
Practice Address - Street 1:743 ELDORADO BLVD APT 2425
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8854
Practice Address - Country:US
Practice Address - Phone:208-240-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer