Provider Demographics
NPI:1396164521
Name:RATHBONE, ANDREA (DC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:RATHBONE
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 1:209 E HIAWASSEE RD
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-0079
Mailing Address - Country:US
Mailing Address - Phone:828-708-8808
Mailing Address - Fax:
Practice Address - Street 1:315 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-6237
Practice Address - Country:US
Practice Address - Phone:828-708-8808
Practice Address - Fax:828-687-7781
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11048111N00000X
TN2736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor