Provider Demographics
NPI:1831817006
Name:LINDSEY, RACHAEL R (DC)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:R
Last Name:LINDSEY
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 1:1921 BASTEN ST
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54302-3603
Mailing Address - Country:US
Mailing Address - Phone:920-371-7811
Mailing Address - Fax:
Practice Address - Street 1:315 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:HORTONVILLE
Practice Address - State:WI
Practice Address - Zip Code:54944-0301
Practice Address - Country:US
Practice Address - Phone:920-450-1655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5769-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor