Individual
ROSS MICHAEL ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
4100 S 4TH ST, LEAVENWORTH, KS 66048-5082
(913) 758-6263
Mailing address
4100 S 4TH ST, LEAVENWORTH, KS 66048-5082
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01611
KS
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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