Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL P ROSE, LAT
ActiveMICHAEL P ROSE, LAT is a Athletic Trainer healthcare provider located in ROCKFORD, Illinois. NPI 1770787509 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · ROCKFORD, IL
Registration Details
- NPI Number
- 1770787509
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2007 (19.141382957808 yrs)
- Last Updated
- May 20, 2008
- License
-
096001973 (IL)
Practice Information
- Address
-
735 HIGHGROVE PLROCKFORD, IL, 611082520Browse IL providers · Browse ZIP 61108
- Phone
- 8152264365
- Fax
- 8152264589
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| CLAYTON A. CORLESS | ATC | 1932172087 |
| MR. AARON MICHAEL ENGEL | ATC | 1477520922 |
| MRS. CHRISTINA AUGUSTA ELDRIDGE | ATC, CSCS | 1417925355 |
| MRS. KIMBERLY ANN SMITH | M.S. ED, ATC | 1134198211 |
| JENNIFER L WUORI | PT, ATC | 1144298381 |
| RUSSELL CHARLES MORGAN | ATC/L | 1023087186 |
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.