Provider Demographics
NPI:1225534365
Name:EVANS, RACHEL L (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:L
Last Name:EVANS
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 1:2109 INDIA RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2886
Mailing Address - Country:US
Mailing Address - Phone:276-783-7005
Mailing Address - Fax:276-783-8080
Practice Address - Street 1:340 N MAIN ST STE 108
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-3360
Practice Address - Country:US
Practice Address - Phone:276-783-7005
Practice Address - Fax:276-783-8080
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557484111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor