Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Thomas Rackley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710714431

Brandon Thomas Rackley is a Student in an Organized Health Care Education/Training Program in Columbia, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1300 Wheat St
Columbia, SC 29201-4347
Phone: (864) 838-0434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1710714431
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

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