Provider Demographics
NPI:1841035029
Name:REINKE, RACHEL KELLENE (LMT, NAET, C HYP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:KELLENE
Last Name:REINKE
Suffix:
Gender:F
Credentials:LMT, NAET, C HYP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 WICKIUP TRL
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2074
Mailing Address - Country:US
Mailing Address - Phone:906-440-4133
Mailing Address - Fax:
Practice Address - Street 1:331 INDIAN TRL STE 101J
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-7201
Practice Address - Country:US
Practice Address - Phone:906-440-4133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT137590225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist