Rachel Rose Gervais

Individual provider Active NPI Athletic Trainer · University, MS

NPI 1063301166 · NPPES record last updated Jul 2, 2025

Key facts

NPI
1063301166
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
117 Garland Hall
University, MS 38677-1967
Phone
(662) 915-8022
NPI assigned
Jul 2, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

117 Garland Hall
University, MS 38677-1967

Mailing address

1089 Anchorage Rd
Oxford, MS 38655-1967

Other providers in University, MS

All providers in University, MS · Athletic Trainer in Mississippi

Sources for this page

Verify at the official NPI Registry.