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Individual
MS. RACHELL WHITE
Active
Individual
MS. RACHELL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MCP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20048
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20048
STATE LICENSE
OR
01
—
81-0815941
FEDERAL TAX IDENTIFICATION
OR
Enumeration date
05/30/2018
Last updated
06/12/2025
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