Provider Demographics
NPI:1609588581
Name:KOLLARS, RHIANNON (DC)
Entity Type:Individual
Prefix:
First Name:RHIANNON
Middle Name:
Last Name:KOLLARS
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 1:24 BARBARA TRL
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:17320-8310
Mailing Address - Country:US
Mailing Address - Phone:845-707-2228
Mailing Address - Fax:
Practice Address - Street 1:26 SPRINGS AVE STE C
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1717
Practice Address - Country:US
Practice Address - Phone:717-535-8558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor