Provider Demographics
NPI:1407039928
Name:HOLTHAUS, RACHEL ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ANN
Last Name:HOLTHAUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:BRINCKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8 W SPRING ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50659-2130
Mailing Address - Country:US
Mailing Address - Phone:641-394-3991
Mailing Address - Fax:641-394-3992
Practice Address - Street 1:8 W SPRING ST
Practice Address - Street 2:
Practice Address - City:NEW HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50659-2130
Practice Address - Country:US
Practice Address - Phone:641-394-3991
Practice Address - Fax:641-394-3992
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007006111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor