Provider Demographics
NPI:1518639103
Name:YEAGER, RACHEL (ND)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:YEAGER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 W WALNUT ST STE 1009
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-1842
Mailing Address - Country:US
Mailing Address - Phone:503-747-2021
Mailing Address - Fax:
Practice Address - Street 1:11791 W 112TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2755
Practice Address - Country:US
Practice Address - Phone:913-214-6536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4423175F00000X
KS21-00085175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath