Healthcare Provider Details

I. General information

NPI: 1548179880
Provider Name (Legal Business Name): RACHEL MARIE BUONO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 SOUTH NEW STREET
WEST CHESTER PA
19383-0001
US

IV. Provider business mailing address

2024 LIBERTY DR
MECHANICSBURG PA
17055-6291
US

V. Phone/Fax

Practice location:
  • Phone: 610-436-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: