Individual
MATTHEW RABALAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CES, FMS
Contact information
Practice address
110 SOUTHPORT RD APT 77, SPARTANBURG, SC 29306-3867
(225) 445-6694
Mailing address
110 SOUTHPORT RD, APT. 77, SPARTANBURG, SC 29306
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1527
SC
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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