Provider Demographics
NPI:1487149175
Name:SMITH, RACHEL (DC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:HERSHBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11349 NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:GRANTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21536-2015
Mailing Address - Country:US
Mailing Address - Phone:301-334-3220
Mailing Address - Fax:301-334-3225
Practice Address - Street 1:14689 GARRETT HWY STE 2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-4059
Practice Address - Country:US
Practice Address - Phone:301-334-3220
Practice Address - Fax:301-334-3225
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor