Provider Demographics
NPI:1548696818
Name:KNIGHT, RACHEL ROSE (DC)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ROSE
Last Name:KNIGHT
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 1:911 LOTZ WAY
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-2623
Mailing Address - Country:US
Mailing Address - Phone:530-598-6033
Mailing Address - Fax:
Practice Address - Street 1:800 S BROADWAY
Practice Address - Street 2:STE. 309
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5295
Practice Address - Country:US
Practice Address - Phone:925-952-9566
Practice Address - Fax:925-952-9568
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32588111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation