Individual provider · NPI-1

Rachael Bucholz, MS, ATC

Specialist/Technologist, Athletic Trainer · Fargo, ND

NPI number1033527221
StatusActive
Last updated in NPPESFeb 5, 2020

Details

NPI
1033527221
Entity type
Individual (NPI-1)
Name
Rachael Bucholz
Credential
MS, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Jul 31, 2014
Certification date
Feb 5, 2020
Last updated
Feb 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer444-11NDYes

Practice location

1840 15th Ave S
Fargo, ND 58103-3824

Phone 701-446-2049

Mailing address

2301 25th St S
Fargo, ND 58103-6104

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist/Technologist, Athletic Trainer providers in Fargo, ND