Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 2001023795 | MO |
NPI | 1316014749 |
---|---|
Provider Name | Dr. Rachel Christina Bartlett |
First Address | Chesterfield, MO 63017-2042 |
Second Address | Chesterfield, MO 63017-2042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 08/07/2007 |