Rachel Gallaway, MA, AT, ATC
Preventive Medicine, Sports Medicine in Jackson, MI. Individual provider (NPI-1).
NPI number1033780010
StatusActive
Last updated in NPPESJul 9, 2021
Details
- NPI
- 1033780010
- Entity type
- Individual (NPI-1)
- Name
- Rachel Gallaway
- Credential
- MA, AT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2021
- Certification date
- Jul 9, 2021
- Last updated
- Jul 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083S0010X | Preventive Medicine, Sports Medicine | 2601002410 | MI | Yes |
Practice location
1201 E Michigan AveJackson, MI 49201-1852
Phone 517-205-1431
Mailing address
1201 E Michigan AveJackson, MI 49201-1852
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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.
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