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Individual

LORI JANE RACKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC/LAT

Contact information

Practice address
3230 STADIUM TOWER DR, TROY, AL 36082-0001
(334) 670-3720
Mailing address
6 STRATFORD LN, ENTERPRISE, AL 36330-8144
(254) 291-1230

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1091
AL

Other

Enumeration date
06/08/2009
Last updated
06/08/2009
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