Provider Demographics
NPI:1174258198
Name:SANGER, RACHEL M (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:M
Last Name:SANGER
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 1:196 VICTORIA BLVD LOWR
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-2316
Mailing Address - Country:US
Mailing Address - Phone:585-410-2572
Mailing Address - Fax:
Practice Address - Street 1:2728 NIAGARA FALLS BVLD
Practice Address - Street 2:
Practice Address - City:WHEATFIELD
Practice Address - State:NY
Practice Address - Zip Code:14304
Practice Address - Country:US
Practice Address - Phone:716-304-2626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor