MEDICARE: RACHEAL LAWLER ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	614	AL
2	2255A2300X	Athletic Trainer	2321	TN

General Provider Information

NPI Number	:	1184992570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEAL LAWLER ATC

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-8930
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 S JACKSON ST
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36104-5732
Country	:	US
Telephone Number	:	334-229-4547
Fax Number	:	334-229-1084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2011
Last Update Date	:	09/11/2019

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Directions to “ RACHEAL LAWLER ATC” Practice Location

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