Provider Demographics
NPI:1699415802
Name:TRAPP, RACHAEL LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:LYNN
Last Name:TRAPP
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 1:307 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-6448
Mailing Address - Country:US
Mailing Address - Phone:918-449-9555
Mailing Address - Fax:918-449-9559
Practice Address - Street 1:307 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-6448
Practice Address - Country:US
Practice Address - Phone:918-449-9555
Practice Address - Fax:918-449-9559
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4475111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor