Provider Demographics
NPI:1861165680
Name:THOMPSON, RACHEL ANN (DC)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ANN
Last Name:THOMPSON
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 1:1522 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-1535
Mailing Address - Country:US
Mailing Address - Phone:218-451-0215
Mailing Address - Fax:
Practice Address - Street 1:220 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-2594
Practice Address - Country:US
Practice Address - Phone:507-519-1408
Practice Address - Fax:507-519-1409
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor