Provider Demographics
NPI:1518504141
Name:SPICER, RACHEL (DC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SPICER
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 1:2909 SAMSON DR
Mailing Address - Street 2:
Mailing Address - City:LORENA
Mailing Address - State:TX
Mailing Address - Zip Code:76655-4081
Mailing Address - Country:US
Mailing Address - Phone:214-673-4580
Mailing Address - Fax:
Practice Address - Street 1:5725 BAGBY AVE
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6929
Practice Address - Country:US
Practice Address - Phone:254-269-4843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14092111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor