Provider Demographics
NPI:1548633167
Name:MARTIN, RACHEL (RD, LD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:SALOMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LD
Mailing Address - Street 1:36 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2620
Mailing Address - Country:US
Mailing Address - Phone:978-761-2368
Mailing Address - Fax:
Practice Address - Street 1:36 HIGH ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-2620
Practice Address - Country:US
Practice Address - Phone:978-975-3355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-04
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN5643133V00000X
ORLD-D-10188736133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered