Healthcare Provider Details

I. General information

NPI: 1851908511
Provider Name (Legal Business Name): RACHAEL PRATT D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W MAIN ST
PACOLET SC
29372-2233
US

IV. Provider business mailing address

140 W MAIN ST
PACOLET SC
29372-2233
US

V. Phone/Fax

Practice location:
  • Phone: 864-406-6466
  • Fax:
Mailing address:
  • Phone: 864-406-6466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4585
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: