Individual
KRISTEN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
493 APPLETON RD, SIMI VALLEY, CA 93065-5224
(805) 404-7557
Mailing address
493 APPLETON RD, SIMI VALLEY, CA 93065-5224
(805) 404-7557
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000014039
BOC
—
Enumeration date
09/13/2016
Last updated
03/16/2026
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