Individual
RACHAEL BOUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAT, MED
Contact information
Practice address
BUILDING 4077 HARRIS AVE, MARINE CORPS BASE HAWAII, KAILUA, HI 96734
(808) 496-3966
Mailing address
5030 WAIKULU DR, KAILUA, HI 96734-4953
(513) 582-2972
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-415
HI
Other
Enumeration date
02/06/2020
Last updated
04/29/2024
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