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RACHAEL E RICE LAT ATC
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1619510229
Individual Registrant: RACHAEL E RICE LAT ATC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
7710 OLD BIG BEND RD GIBSONTON, FL 33534-5815 US
Tel: 813-671-5134 Fax: --
Tel: 813-671-5134 Fax: --
Contact information for business:
11904C SKYLAKE PL TEMPLE TERRACE, FL 33617-1622 US
Tel: 813-375-1668 Fax: --
Tel: 813-375-1668 Fax: --
Registration Information:
NPI: 1619510229
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer | FL | AL5793 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
