Rackley, Bandy Jo

Rackley, Bandy Jo is an individual health care provider with primary practice located at 5110 W Gore Blvd , Lawton OK 73505-5909. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Rackley, Bandy Jo can be contacted via phone (580) 713-3123.

Contact Information

Primary practice address
5110 W Gore Blvd Lawton OK 73505-5909
Phone: (580) 713-3123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X

Profile Details

NPI number 1033188743
LBN Legal business name Rackley, Bandy Jo
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 22nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers