| Rachael Goddard, DC | |
|
5201 Eden Ave Ste 190, Edina, MN 55436-2368 | |
| (952) 920-9721 | |
| Not Available |
| Full Name | Rachael Goddard |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 5201 Eden Ave Ste 190, Edina, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851027833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 7015 (Minnesota) | Primary |
| Provider Name | Marty Clinic Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588611438 PECOS PAC ID: 4789697046 Enrollment ID: O20060803000336 |
| Provider Name | Vaida Chiropractic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033575196 PECOS PAC ID: 8527365436 Enrollment ID: O20160321000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael Goddard, DC 5201 Eden Ave Ste 190, Edina, MN 55436-2368 Ph: (952) 920-9721 | Rachael Goddard, DC 5201 Eden Ave Ste 190, Edina, MN 55436-2368 Ph: (952) 920-9721 |
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