Individual
KIMBER RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, ATC, LAT
Contact information
Practice address
902 N DOWDEN RD, WOLFFORTH, TX 79382-5508
(806) 866-4480
(806) 866-4038
Mailing address
PO BOX 100, WOLFFORTH, TX 79382-0100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
080802096
TX
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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