Provider Demographics
NPI:1992069579
Name:WENDT, RACHEL E (DC)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:E
Last Name:WENDT
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 1:888 MASON HEADLEY RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2328
Mailing Address - Country:US
Mailing Address - Phone:630-309-9368
Mailing Address - Fax:
Practice Address - Street 1:888 MASON HEADLEY RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-2328
Practice Address - Country:US
Practice Address - Phone:630-309-9368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012206111N00000X
CO7199111N00000X
KY270909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor