Provider Demographics
NPI:1043637994
Name:STOHRER, RACHAEL (DC)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:STOHRER
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 1:4711 LAGUNA BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-7041
Mailing Address - Country:US
Mailing Address - Phone:916-216-1049
Mailing Address - Fax:
Practice Address - Street 1:4711 LAGUNA BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7041
Practice Address - Country:US
Practice Address - Phone:916-216-1049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32330111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor