Provider Demographics
NPI:1386242246
Name:STUMMER, RACHEL SUZANNE (DC)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SUZANNE
Last Name:STUMMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1655 ELMWOOD AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3431
Mailing Address - Country:US
Mailing Address - Phone:585-444-7325
Mailing Address - Fax:585-991-6656
Practice Address - Street 1:1655 ELMWOOD AVE STE 235
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3431
Practice Address - Country:US
Practice Address - Phone:585-444-7325
Practice Address - Fax:585-991-6656
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013316-01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor