MISS Colleen M Rackett, ATC

NPI #1689963837 in West Long Branch, New Jersey

Provider Information

NPI Number
1689963837
Entity Type
Individual
Name
MISS Colleen M Rackett, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Mar 28, 2011
Last Updated
Mar 28, 2011

Practice Location

Address
400 CEDAR AVE
Address 2
DEPARTMENT OF ATHLETICS
ZIP Code
07764-1804
Phone
(732) 571-4473

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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