Provider Demographics
NPI:1861295222
Name:ROWLAND, RACHAEL (LMT, CMLDT)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:
Credentials:LMT, CMLDT
Other - Prefix:MRS
Other - First Name:RACHELLE
Other - Middle Name:
Other - Last Name:ROWLAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT, CMLDT
Mailing Address - Street 1:805 LAKE SHADOW DR
Mailing Address - Street 2:
Mailing Address - City:LAVON
Mailing Address - State:TX
Mailing Address - Zip Code:75166-1219
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:805 LAKE SHADOW DR
Practice Address - Street 2:
Practice Address - City:LAVON
Practice Address - State:TX
Practice Address - Zip Code:75166-1219
Practice Address - Country:US
Practice Address - Phone:469-360-3014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT112359225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist