Provider Demographics
NPI:1518303114
Name:MEEGAN-IACCHETTA, RACHEL E (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:E
Last Name:MEEGAN-IACCHETTA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:E
Other - Last Name:MEEGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1580 ELMWOOD AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3620
Mailing Address - Country:US
Mailing Address - Phone:585-471-5919
Mailing Address - Fax:585-471-8663
Practice Address - Street 1:1580 ELMWOOD AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3620
Practice Address - Country:US
Practice Address - Phone:585-471-5919
Practice Address - Fax:585-471-8663
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012270-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor