Provider Demographics
NPI:1306165501
Name:KINNE, RACHEL SUZANNE (DC)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SUZANNE
Last Name:KINNE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:SUZANNE
Other - Last Name:LOOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2016 CEDAR PLAZA DR
Mailing Address - Street 2:STE 11
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761
Mailing Address - Country:US
Mailing Address - Phone:563-288-6325
Mailing Address - Fax:563-288-3430
Practice Address - Street 1:2016 CEDAR PLAZA DR
Practice Address - Street 2:STE 11
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761
Practice Address - Country:US
Practice Address - Phone:563-288-6325
Practice Address - Fax:563-288-3430
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007329111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor