Individual
MISS RACHAEL LANE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
700 WALKER RD, MT PLEASANT, NC 28124-9596
(704) 436-9321
Mailing address
700 WALKER RD, MT PLEASANT, NC 28124-9596
(704) 436-9321
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000020578
NC
Other
Enumeration date
10/28/2017
Last updated
10/28/2017
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