Provider Demographics
NPI:1164013827
Name:SCOTT, RACHEL VIOLET (LMT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:VIOLET
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9610 COUNTY ROAD 581
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-7251
Mailing Address - Country:US
Mailing Address - Phone:972-908-0271
Mailing Address - Fax:
Practice Address - Street 1:9610 COUNTY ROAD 581
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-7251
Practice Address - Country:US
Practice Address - Phone:972-908-0271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT132862225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist