Individual
RACHAEL ELISE WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 PROSPECT ST, EAST STROUDSBURG, PA 18301-2956
(570) 422-3165
(570) 422-3665
Mailing address
11732 E 1020 LN, MOUNT CARMEL, IL 62863-4711
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004770
PA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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