Provider Demographics
NPI:1922320589
Name:RAWLINGS, SCOTT W (ATC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:W
Last Name:RAWLINGS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 E CHERRY ST
Mailing Address - Street 2:PO BOX 27
Mailing Address - City:ROBINSON
Mailing Address - State:IL
Mailing Address - Zip Code:62454-3305
Mailing Address - Country:US
Mailing Address - Phone:217-259-1879
Mailing Address - Fax:
Practice Address - Street 1:507 E CHERRY ST
Practice Address - Street 2:
Practice Address - City:ROBINSON
Practice Address - State:IL
Practice Address - Zip Code:62454-3305
Practice Address - Country:US
Practice Address - Phone:217-259-1879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-24
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0960018072255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer