Provider Demographics
NPI:1891568382
Name:HARNISH, RACHAEL A (DC)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:A
Last Name:HARNISH
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 1:517 8TH AVE W # 100
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-5121
Mailing Address - Country:US
Mailing Address - Phone:941-304-3013
Mailing Address - Fax:
Practice Address - Street 1:517 8TH AVE W # 100
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-5121
Practice Address - Country:US
Practice Address - Phone:941-304-3013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14782111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor