Individual
RACHEL MAKSIMOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
(719) 641-6892
Mailing address
2020 ALONDRA CT, COLORADO SPRINGS, CO 80919-4808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001262
CO
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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