Provider Demographics
NPI:1992524367
Name:ALLEN, RACHEL CAROLINE (ATC, LAT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:CAROLINE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3665 S INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-3238
Mailing Address - Country:US
Mailing Address - Phone:864-423-3771
Mailing Address - Fax:
Practice Address - Street 1:3665 S INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-3238
Practice Address - Country:US
Practice Address - Phone:864-423-3771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCATH13772255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer