Individual
MS. RACHEL DENISE DECULUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
513 ALAMO ST, LAKE CHARLES, LA 70601-8532
(337) 494-6298
Mailing address
1218 VARNEY CIR APT B, LAKE CHARLES, LA 70615-3868
(337) 802-6375
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
#LA4786-02
LA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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