Rachael Lane Thompson, ATC, LAT

Individual provider Active NPI Athletic Trainer · Mt Pleasant, NC

NPI 1467964643 · NPPES record last updated Oct 28, 2017

Key facts

NPI
1467964643
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
2000020578 (NC)
Practice address
700 Walker Rd
Mt Pleasant, NC 28124-9596
Phone
(704) 436-9321
NPI assigned
Oct 28, 2017
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

State licenses

LicenseStateTypeSpecialty
2000020578NCMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000020578 NC Yes

Addresses

Primary practice location

700 Walker Rd
Mt Pleasant, NC 28124-9596

Mailing address

700 Walker Rd
Mt Pleasant, NC 28124-9596
Phone (704) 436-9321

Other providers in Mt Pleasant, NC

All providers in Mt Pleasant, NC · Athletic Trainer in North Carolina

Sources for this page

Verify at the official NPI Registry.