Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW C RODRIGUE, ATC, LAT, MA
Active Sole ProprietorMATTHEW C RODRIGUE, ATC, LAT, MA is a Athletic Trainer healthcare provider located in FORT POLK, Louisiana. NPI 1003570862 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FORT POLK, LA
Registration Details
- NPI Number
- 1003570862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2021 (4.773084761155 yrs)
- Last Updated
- Jul 15, 2022
- License
-
ATH.200172 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2030 14TH ST BLDG 1830FORT POLK, LA, 714595302Browse LA providers · Browse ZIP 71459
- Phone
- 5044150392
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FORT POLK, LA
| Name | Credential | NPI |
|---|---|---|
| MS. VERNITA REENA YOUNG | MA/ATC | 1619905759 |
| MRS. KERRY LEE SARVIS | MS, ATC, CSCS, FMSC | 1578773065 |
| MR. MICHAEL PAUL DREISBACH | ATC | 1194125047 |
| MEGHAN PATORAY | ATC | 1679936322 |
| MS. EBONY TARYN ROSE | MS, LAT, ATC | 1710441951 |
| NICOLE HOWELLS | — | 1326692161 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.