Provider Demographics
NPI:1639612740
Name:THOMPSON, RACHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:
Last Name:THOMPSON
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 1:187 W LINCOLN HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2617
Mailing Address - Country:US
Mailing Address - Phone:484-200-7711
Mailing Address - Fax:610-706-4889
Practice Address - Street 1:187 W LINCOLN HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2617
Practice Address - Country:US
Practice Address - Phone:484-200-7711
Practice Address - Fax:610-706-4889
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011153111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor