NPI Profile for RACHEL GALLAWAY in JACKSON, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sports Medicine |
2083S0010X | 84 | Physician/Preventive Medicine |
| NPI # | 1033780010 |
|
| Status | Active | |
| Credentials | MA, AT, ATC | |
| Entity | Individual | |
| Enumeration date | 07/09/2021 | |
| Last updated | 07/09/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RACHEL GALLAWAY
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