Provider Demographics
NPI:1538309844
Name:MYERS, RACHEL ZAPATA (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ZAPATA
Last Name:MYERS
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 1:4207 MACON POND RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6320
Mailing Address - Country:US
Mailing Address - Phone:919-774-6111
Mailing Address - Fax:919-774-9587
Practice Address - Street 1:1401 GREENWAY CT
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-6954
Practice Address - Country:US
Practice Address - Phone:919-774-6111
Practice Address - Fax:919-774-9587
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11124111N00000X
NC4004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11124OtherSTATE LINCENSE
NC4004OtherSTATE LICENSE