Individual
RACHEL CHIDESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.003929
IL
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
03/27/2018
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