NPI 1124336961

Rachael Elise Waddle, ATC

Practitioner Athletic Trainer East Stroudsburg, PA

Practice location

Address: 200 Prospect St, East Stroudsburg, PA 18301-2956
Phone: (570) 422-3165
Fax: (570) 422-3665
Mailing address: 11732 E 1020 Ln, Mount Carmel, IL 62863-4711

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT004770 (PA)

Other Specialist/Technologist providers in Pennsylvania →

Registry record

NPI: 1124336961
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2010
Record last updated: 14 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.