Individual
MS. CRYSTAL MICHELLE RODGERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
30 A & B SAMFORD AVENUE, OPELIKA, AL 36801
(334) 742-9266
Mailing address
2625 LEE ROAD 145, SALEM, AL 36874-2310
(334) 749-0253
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
893
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22408
NATA
AL
01
—
893
ALABAMA ATC LICENSES
AL
Enumeration date
02/17/2006
Last updated
07/08/2007
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