=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013855014
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RAHILLY CHIROPRACTIC PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/23/2026
-----------------------------------------------------
Last Update Date | 03/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7602 STATE HIGHWAY M123
-----------------------------------------------------
City | NEWBERRY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49868-8128
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 906-293-7055
-----------------------------------------------------
Fax | 906-293-7055
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 259
-----------------------------------------------------
City | NEWBERRY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49868-0259
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 906-293-7055
-----------------------------------------------------
Fax | 906-293-7055
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. JEFFREY RAHILLY
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 906-293-7055
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------