Provider Demographics
NPI:1205533080
Name:RAINWATER, ELEANOR HARWELL (DC)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:HARWELL
Last Name:RAINWATER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ELEANOR
Other - Middle Name:M
Other - Last Name:HARWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:10179 EASTERN SHORE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-3303
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10179 EASTERN SHORE DR STE 102
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-3303
Practice Address - Country:US
Practice Address - Phone:251-625-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2788111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor