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NPI Code Detail

MEDICARE: RADIANT ROOTS CHIROPRACTIC, LLC

MEDICARE: RADIANT ROOTS CHIROPRACTIC, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1194664789
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADIANT ROOTS CHIROPRACTIC, LLC
Provider Business Mailing Address
First Line : 6814 N ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48306-4339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6814 N ROCHESTER RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48306-4339
Country : US
Telephone Number : 586-227-4480
Fax Number :
Authorized Official
Title or Position : OWNER AND CHIROPRACTOR
Name : DR. RACHEL MARR
Credential : DC
Telephone Number : 586-227-4480
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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