Individual
MICHAEL RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8080 BLUEBONNET BLVD, SUITE 1000, BATON ROUGE, LA 70810-7827
(225) 658-1808
(225) 658-5922
Mailing address
8080 BLUEBONNET BLVD, SUITE 1000, BATON ROUGE, LA 70810-7827
(225) 658-1808
(225) 658-5922
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
300124
LA
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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