Provider Demographics
NPI:1609109016
Name:YARROCH, RAQUEL MARIE (DC)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:MARIE
Last Name:YARROCH
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:W4282 ROCKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LYNDON STATION
Mailing Address - State:WI
Mailing Address - Zip Code:53944
Mailing Address - Country:US
Mailing Address - Phone:608-548-7601
Mailing Address - Fax:
Practice Address - Street 1:522 GATEWAY AVE STE B
Practice Address - Street 2:
Practice Address - City:MAUSTON
Practice Address - State:WI
Practice Address - Zip Code:53948-9723
Practice Address - Country:US
Practice Address - Phone:608-747-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4522-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor