Provider Demographics
NPI:1407340581
Name:RUN 2 RAHN, LLC
Entity Type:Organization
Organization Name:RUN 2 RAHN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IVY
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:RAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-303-8305
Mailing Address - Street 1:12333 NW 18TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4386
Mailing Address - Country:US
Mailing Address - Phone:954-961-6161
Mailing Address - Fax:954-404-6704
Practice Address - Street 1:12333 NW 18TH ST STE 1
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-4386
Practice Address - Country:US
Practice Address - Phone:954-961-6161
Practice Address - Fax:954-404-6704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty