Provider Demographics
NPI:1013349380
Name:PRICE, RACHELLE KRISTINE (ND)
Entity Type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:KRISTINE
Last Name:PRICE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 97TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-5604
Mailing Address - Country:US
Mailing Address - Phone:612-812-4198
Mailing Address - Fax:
Practice Address - Street 1:777 29TH ST
Practice Address - Street 2:SUITE 401
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2358
Practice Address - Country:US
Practice Address - Phone:303-960-3920
Practice Address - Fax:866-360-6149
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1892175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath