MEDICARE: RACHEL AUGUSTIN ATC, NREMT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	146N00000X	Basic Emergency Medical Technician
2	225100000X	Physical Therapist
3	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1659801900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL AUGUSTIN ATC, NREMT

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:	630-296-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	2514 COMMONS TRCE
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30909-2248
Country	:	US
Telephone Number	:	770-905-4373
Fax Number	:	770-905-4373

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

Provider Enumeration Date	:	06/19/2017
Last Update Date	:	05/08/2026

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