Provider Demographics
NPI:1700669470
Name:ADKINS, RACHEL VICTORIA (ATC KAT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:VICTORIA
Last Name:ADKINS
Suffix:
Gender:F
Credentials:ATC KAT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:NEIBERGALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC LAT
Mailing Address - Street 1:2110 COTTONWOOD RD UNIT 106
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-8483
Mailing Address - Country:US
Mailing Address - Phone:515-480-5347
Mailing Address - Fax:
Practice Address - Street 1:3500 UNIVERSITY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-8677
Practice Address - Country:US
Practice Address - Phone:515-239-3410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0825692255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer