Individual
RACHAEL ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
2701 VERMONT AVE, CHATTANOOGA, TN 37404-1731
(423) 624-4618
Mailing address
900 MOUNTAIN CREEK RD APT M159, CHATTANOOGA, TN 37405-4580
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
22
—
Enumeration date
07/22/2018
Last updated
07/22/2018
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