| NPI | 1649745258 |
|---|---|
| Former Name | RACHEL RENE SHELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NE 1139) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IA 120211) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2023-10-10 |