Provider Demographics
NPI:1235853557
Name:ZASTROW, RACHEL MORGAN (DC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MORGAN
Last Name:ZASTROW
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 1:212208 MYSTIC AVE
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:WI
Mailing Address - Zip Code:54479-3462
Mailing Address - Country:US
Mailing Address - Phone:715-897-0069
Mailing Address - Fax:
Practice Address - Street 1:2627 N CLAIREMONT AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-2405
Practice Address - Country:US
Practice Address - Phone:715-552-3232
Practice Address - Fax:715-552-3233
Is Sole Proprietor?:No
Enumeration Date:2022-09-29
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WISTUDENT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor