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Individual

DANIEL ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
600 W 13TH ST STE 200, JASPER, IN 47546-1883
(812) 482-7442
(812) 482-7444
Mailing address
600 WEST 13TH STREET, SUITE 200, JASPER, IN 47546
(812) 482-7442
(812) 482-7444

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002004A
IN

Other

Enumeration date
03/31/2016
Last updated
03/31/2016
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