Provider Demographics
NPI:1427943737
Name:SMITH, RACHEL MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MARIE
Last Name:SMITH
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 1:101 AVENUE B W
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:IA
Mailing Address - Zip Code:51347-1053
Mailing Address - Country:US
Mailing Address - Phone:515-554-3911
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 415
Practice Address - Street 2:
Practice Address - City:RUTHVEN
Practice Address - State:IA
Practice Address - Zip Code:51358-0415
Practice Address - Country:US
Practice Address - Phone:515-554-3911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor