Individual
RACHEL NICOLE ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LAT, ATC
Contact information
Practice address
6790 COLLEGE STATION DRIVE, WILLIAMSBURG, KY 40769
(606) 515-0390
Mailing address
PO BOX 483, WILLIAMSBURG, KY 40769-0483
(606) 620-6901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1744
KY
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
BMTMTH00222474
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2015
Last updated
05/08/2025
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