Provider Demographics
NPI:1538772249
Name:HARRISON, ABIGAIL R (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:R
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:R
Other - Last Name:WEISLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:606 W HARNETT ST
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-1644
Mailing Address - Country:US
Mailing Address - Phone:702-338-4701
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 10
Practice Address - Street 2:
Practice Address - City:BUIES CREEK
Practice Address - State:NC
Practice Address - Zip Code:27506-0010
Practice Address - Country:US
Practice Address - Phone:910-814-4375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT83652255A2300X
NC2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer