Provider Demographics
NPI:1629341110
Name:WEISSMAN, RACHEL
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:WEISSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E. WASHINGTON STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240
Mailing Address - Country:US
Mailing Address - Phone:319-331-9312
Mailing Address - Fax:
Practice Address - Street 1:505 E WASHINGTON ST
Practice Address - Street 2:SUITE 1
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1842
Practice Address - Country:US
Practice Address - Phone:319-331-9312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-50171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist