Provider Demographics
NPI:1407429566
Name:HAMILTON, RACHAEL (ATC)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 THOMAS WELBORN RD
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-6401
Mailing Address - Country:US
Mailing Address - Phone:864-449-0541
Mailing Address - Fax:
Practice Address - Street 1:105 SIKES HALL
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29633
Practice Address - Country:US
Practice Address - Phone:864-449-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-17
Last Update Date:2021-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25462255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer