Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHON ROERDEN, ATC, LAT
ActiveJONATHON ROERDEN, ATC, LAT is a Athletic Trainer healthcare provider located in WARWICK, New York. NPI 1437796158 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WARWICK, NY
Registration Details
- NPI Number
- 1437796158
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2019 (6.6658720097416 yrs)
- Last Updated
- Dec 1, 2019
- License
-
00325 (NY)
Practice Information
- Address
-
12 RIDGEWAY DRWARWICK, NY, 109901222Browse NY providers · Browse ZIP 10990
- Phone
- 8453257499
- Primary Specialty
-
Athletic Trainer
2255A2300X
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.