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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEATON D RODRIQUEZ

Active

KEATON D RODRIQUEZ is a Athletic Trainer healthcare provider located in IDAHO FALLS, Idaho. NPI 1861975294 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · IDAHO FALLS, ID

Registration Details

NPI Number
1861975294
Provider Type
Individual
Gender
Male
NPI Issued
Sep 11, 2018 (7.8842910249578 yrs)
Last Updated
Sep 11, 2018

Practice Information

Address
3085 LAURENCE CT
IDAHO FALLS, ID, 834025507
Browse ID providers · Browse ZIP 83402
Phone
1208520024
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in IDAHO FALLS, ID

Name Credential NPI
ROGER DAVIES A.T.,C. 1770612129
CHARISSA BETHE'L SMITH ATC 1467786319
MS. CHEREE IADEVAIA MS, LAT, ATC 1730440371
DUSTIN JONES 1972052546
KATHERINE MARIAH BERGLUND MAT, ATC, LAT 1679069595
REBECCA SUE WARNKE ATC 1003439761
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.