Provider Demographics
NPI:1093950651
Name:KING, RACHELLE H (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:H
Last Name:KING
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 1:61 CENTRAL SQ STE 4
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3096
Mailing Address - Country:US
Mailing Address - Phone:978-710-5163
Mailing Address - Fax:978-319-9558
Practice Address - Street 1:61 CENTRAL SQ STE 4
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3096
Practice Address - Country:US
Practice Address - Phone:978-710-5163
Practice Address - Fax:978-319-9558
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor