Most Relevant Information
Provider Data
| NPI Number: | 1003475484 |
| Provider Name: | RACHEL E GOTHARD-GOLLOB LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/10/2019 |
| Last Updated: | 06/10/2019 |
Provider Practice Location
500 W MAIN ST STE D
CENTRALIA
WA
985314252
Practice Location Phone/Fax
| Phone: | 3606231214 |
| Fax: |
Provider Mailing Location
500 W MAIN ST STE D
CENTRALIA
WA
985314252
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |