Provider Demographics
NPI:1992941801
Name:BANKS, RACHEL DION (DC)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:DION
Last Name:BANKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3742 TENNESSEE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37409-1222
Mailing Address - Country:US
Mailing Address - Phone:423-602-5656
Mailing Address - Fax:423-602-5678
Practice Address - Street 1:3742 TENNESSEE AVE STE 104
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37409-1222
Practice Address - Country:US
Practice Address - Phone:423-602-5656
Practice Address - Fax:423-602-5678
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-23
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008337111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor