Provider Demographics
NPI:1851461008
Name:WEISSMAN, RACHEL BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:BETH
Last Name:WEISSMAN
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 1:388 SE SECOND AVE.
Mailing Address - Street 2:
Mailing Address - City:DELRAY
Mailing Address - State:FL
Mailing Address - Zip Code:33084
Mailing Address - Country:US
Mailing Address - Phone:561-450-7351
Mailing Address - Fax:
Practice Address - Street 1:388 SE 2ND AVE
Practice Address - Street 2:
Practice Address - City:DELRAY
Practice Address - State:FL
Practice Address - Zip Code:33084
Practice Address - Country:US
Practice Address - Phone:561-450-7351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010197111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX5Y771Medicare ID - Type Unspecified