Whalio Doctors

NPI 1861720765

Rachel Denise Deculus, LMT

Practitioner Mechanotherapist Lake Charles, LA

Practice location

Address
513 Alamo St, Lake Charles, LA 70601-8532
Phone
(337) 494-6298
Mailing address
1218 Varney Cir APT B, Lake Charles, LA 70615-3868

Registered specialties

Mechanotherapist Primary
Other Service Providers Taxonomy 172M00000X Licence #LA4786-02 (LA)

Registry record

NPI
1861720765
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Dec 2009
Record last updated
3 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.