Provider Demographics
NPI:1558562777
Name:LANGSAM, RACHEL ALEXIS (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ALEXIS
Last Name:LANGSAM
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:PO BOX 6788
Mailing Address - Street 2:
Mailing Address - City:SNOWMASS VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:81615-6788
Mailing Address - Country:US
Mailing Address - Phone:970-948-2583
Mailing Address - Fax:970-922-0692
Practice Address - Street 1:SUITE 23, DALY LANE
Practice Address - Street 2:
Practice Address - City:SNOWMASS VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:81615
Practice Address - Country:US
Practice Address - Phone:970-948-2583
Practice Address - Fax:970-922-0692
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor