Healthcare Provider Details

I. General information

NPI: 1720556582
Provider Name (Legal Business Name): RACHEL SENDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

991 CLARK ST
LANCASTER PA
17602-3201
US

IV. Provider business mailing address

991 CLARK ST
LANCASTER PA
17602-3201
US

V. Phone/Fax

Practice location:
  • Phone: 732-616-5223
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberDN005684
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: