Healthcare Provider Details

I. General information

NPI: 1568138881
Provider Name (Legal Business Name): RABBETZ SPORTS CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THREE EMBARCADERO CENTER, LOBBY LEVEL
SAN FRANCISCO CA
94111
US

IV. Provider business mailing address

THREE EMBARCADERO CENTER, LL5
SAN FRANCISCO CA
94111
US

V. Phone/Fax

Practice location:
  • Phone: 415-495-2225
  • Fax: 415-495-2228
Mailing address:
  • Phone: 415-495-2225
  • Fax: 415-495-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. TAYLOR RABBETZ
Title or Position: PRESIDENT
Credential: DC
Phone: 415-495-2225