Provider Demographics
NPI:1982260444
Name:HUSTON, RACHEL NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:NICOLE
Last Name:HUSTON
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 1:117 W 20TH ST APT 706
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2087
Mailing Address - Country:US
Mailing Address - Phone:308-991-8807
Mailing Address - Fax:
Practice Address - Street 1:1800 WYANDOTTE ST STE 201
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-1902
Practice Address - Country:US
Practice Address - Phone:314-956-8849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019012564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor