Provider Demographics
NPI:1588943955
Name:NARDELLO, RACHEL (DC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:NARDELLO
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 1:605 WATERFORD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-2524
Mailing Address - Country:US
Mailing Address - Phone:724-766-0790
Mailing Address - Fax:
Practice Address - Street 1:605 WATERFORD DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-2524
Practice Address - Country:US
Practice Address - Phone:724-766-0790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor