Rachel Christine Blonde, MAT, AT, ATC
Specialist/Technologist, Athletic Trainer in Detroit, MI. Individual provider (NPI-1).
NPI number1285249078
StatusActive
Last updated in NPPESDec 24, 2022
Details
- NPI
- 1285249078
- Entity type
- Individual (NPI-1)
- Name
- Rachel Christine Blonde
- Credential
- MAT, AT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2020
- Certification date
- Dec 24, 2022
- Last updated
- Dec 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2601002766 | MI | Yes |
Practice location
690 Amsterdam StDetroit, MI 48202-3410
Phone 313-938-3502
Mailing address
41097 S Mcmahon CirNovi, MI 48375-3440
Phone 248-962-5358
Other practice locations
900 Oakwood St
Ypsilanti, MI 48197-6229
Ypsilanti, MI 48197-6229
Phone 734-487-1849
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