Provider Demographics
NPI:1467110395
Name:JOHNSTON, RACHEL LYNN (ATC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LYNN
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:LYNN
Other - Last Name:EGELHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:219 MILLPOND RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-8454
Mailing Address - Country:US
Mailing Address - Phone:614-460-9475
Mailing Address - Fax:
Practice Address - Street 1:6100 N HAMILTON RD STE 1B
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2062
Practice Address - Country:US
Practice Address - Phone:614-366-4332
Practice Address - Fax:614-685-9419
Is Sole Proprietor?:No
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0052062255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer