Provider Demographics
NPI:1891448395
Name:SANDERS, RACHEL HALEY (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:HALEY
Last Name:SANDERS
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 1:31360 VIA COLINAS STE 104
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-6821
Mailing Address - Country:US
Mailing Address - Phone:818-852-1314
Mailing Address - Fax:
Practice Address - Street 1:31360 VIA COLINAS STE 104
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-6821
Practice Address - Country:US
Practice Address - Phone:818-852-5290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor