Individual
MRS. JACLYN RAE CACHIARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, SCAT, LAT, CES
Contact information
Practice address
2093 HENRY TECKLENBURG DR STE 200, CHARLESTON, SC 29414-5742
(843) 209-8781
Mailing address
218 WITHERS LN, LADSON, SC 29456-4851
(507) 513-1012
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2154
SC
2255A2300X
Athletic Trainer
2429
MN
Other
Enumeration date
07/23/2013
Last updated
01/21/2021
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