Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. EBONY TARYN ROSE, MS, LAT, ATC
ActiveMS. EBONY TARYN ROSE, MS, LAT, ATC is a Athletic Trainer healthcare provider located in FORT POLK, Louisiana. NPI 1710441951 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FORT POLK, LA
Registration Details
- NPI Number
- 1710441951
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2019 (7.5251792747716 yrs)
- Last Updated
- Oct 11, 2022
- Licenses
-
AT8123 (TX)AT005900 (OH)
Practice Information
- Address
-
1585 3RD STFORT POLK, LA, 714595102Browse LA providers · Browse ZIP 71459
- Phone
- 3375313011
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
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 |
| NICOLE HOWELLS | — | 1326692161 |
| TADD WILLIAM BERG | — | 1851906697 |
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.