MEDICARE: RACHAEL SANTA MARIA DC

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
1	111N00000X	Chiropractor	14184297-1202	UT

General Provider Information

NPI Number	:	1437963865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL SANTA MARIA DC

Provider Business Mailing Address
First Line	:	PO BOX 2488
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-2488
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1960 SIDEWINDER DR STE 204
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-7448
Country	:	US
Telephone Number	:	435-640-0681
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2025
Last Update Date	:	02/05/2025

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Directions to “ RACHAEL SANTA MARIA DC” Practice Location

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