Provider Demographics
NPI:1053129692
Name:KRASSELT, RHONDA (NBC-HWC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:KRASSELT
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 BROOKDALE RD
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76116-8555
Mailing Address - Country:US
Mailing Address - Phone:817-909-2958
Mailing Address - Fax:
Practice Address - Street 1:4009 BROOKDALE RD
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76116-8555
Practice Address - Country:US
Practice Address - Phone:817-909-2958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXA-3921632171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach