Provider Demographics
NPI:1033979455
Name:WHATLEY, RACHEL GAYLE (DC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:GAYLE
Last Name:WHATLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6875 FARM TO MARKET RD 1488, SUITE 300
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354
Mailing Address - Country:US
Mailing Address - Phone:281-789-7586
Mailing Address - Fax:281-789-7396
Practice Address - Street 1:6875 FARM TO MARKET RD 1488, SUITE 300
Practice Address - Street 2:SUITE 300
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354
Practice Address - Country:US
Practice Address - Phone:281-789-7586
Practice Address - Fax:281-789-7396
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor