Active NPIIndividual providerSole proprietor

Miss Colleen M Rackett, ATC

Specialist/Technologist, Athletic Trainer in West Long Branch, New Jersey

NPI Number1689963837
Practice location
400 Cedar Ave, Department Of Athletics, West Long Branch, NJ 07764-1804
Fax
—
Last updated
March 28, 2011

Colleen M Rackett is a Specialist/Technologist, Athletic Trainer based in West Long Branch, NJ. Colleen M Rackett practices in West Long Branch, NJ and has the professional credentials of ATC. The NPI Number for Colleen M Rackett is 1689963837 and holds a License No. 25MT00163400 (NJ). The current practice location address for Colleen M Rackett is 400 Cedar Ave, Department Of Athletics, West Long Branch, NJ 07764-1804 and can be reached out via phone at 732-571-4473.

Provider Profile Details

NPI Number
1689963837
Provider Name
Colleen M Rackett
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
400 Cedar Ave, Department Of Athletics, West Long Branch, NJ 07764-1804
Phone Number
732-571-4473
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2011
Last Update Date
March 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Cedar Ave
Department Of Athletics
West Long Branch, NJ 07764-1804
Zip
07764-1804
Phone Number
732-571-4473
West Long Branch, NJ 07764Get directions →

Provider Business Mailing Address Details

Address
400 Cedar Ave
Department Of Athletics
West Long Branch, NJ 07764-1804
City
West Long Branch
State
NJ
Zip
07764-1804
Phone Number
732-571-4473

License Information

License Number
25MT00163400
License State
NJ
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Colleen M Rackett, ATC?

The NPI number of Miss Colleen M Rackett, ATC is 1689963837. It was assigned on March 28, 2011 and is currently active in the NPPES registry.

What is the specialty of Miss Colleen M Rackett, ATC?

Miss Colleen M Rackett, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00163400.

Where does Miss Colleen M Rackett, ATC practice?

The practice location is 400 Cedar Ave, Department Of Athletics, West Long Branch, NJ 07764-1804. The office can be reached at 732-571-4473 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689963837 directly on the NPPES registry website.

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