Rachelle Lee Rider, D.C.
Individual provider Active NPI Chiropractor · Waverly, NE
NPI 1366760100 · NPPES record last updated May 4, 2010
Key facts
- NPI
- 1366760100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1615 (NE)
- Practice address
- 13220 Callum Dr
Suite 2
Waverly, NE 68462-2561 - Phone
- (402) 990-0648
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1615 | NE | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downtown Therapy Inc. | Current |
Accepting new patients |
Locations
1219 Leavenworth St
Omaha, NE 68102
Phone (402) 699-3718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1615 | NE | Yes |
Addresses
Primary practice location
13220 Callum Dr
Suite 2
Waverly, NE 68462-2561
Mailing address
200 North St
Greenwood, NE 68366-2502
Phone (402) 990-0648
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1615 | Other | NE | STATE LICENSE |
Other providers in Waverly, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.