Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENTON ROSE, ATC, LAT, PES
ActiveBENTON ROSE, ATC, LAT, PES is a Athletic Trainer healthcare provider located in PLATTEVILLE, Wisconsin. NPI 1699281816 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PLATTEVILLE, WI
Registration Details
- NPI Number
- 1699281816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2017 (8.5921397728659 yrs)
- Last Updated
- Dec 26, 2017
- License
-
1309-39 (WI)
Practice Information
- Address
-
1400 EASTSIDE RDPLATTEVILLE, WI, 538189800Browse WI providers · Browse ZIP 53818
- Phone
- 6083425003
- Fax
- 6083425004
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PLATTEVILLE, WI
| Name | Credential | NPI |
|---|---|---|
| MS. RYANNE ELAINE BRECKENRIDGE | ATC | 1710155387 |
| ANNE MARIE EVANS | ATC, LAT | 1124562590 |
| KRISTIN ANN SITTE | MS, LAT, ATC | 1740776236 |
| KYLE DWYER | MAT, LAT, ATC | 1639701758 |
| MICHAEL MARTIN | LAT ATC | 1700493780 |
| DAYNA MICHELLE HARTJE | MAT,LAT,ATC | 1265035471 |
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.