Individual
KYLER ANN ROTELIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4901 E UNIVERSITY BLVD, ODESSA, TX 79762-0001
(432) 552-2980
Mailing address
51 FALCONS NEST CIR # 1900, ODESSA, TX 79762-9621
(701) 626-2262
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8403
TX
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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