Individual
REBECCA ROELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1965 S WALNUT ST, BLOOMINGTON, IN 47401-6529
(812) 756-2934
Mailing address
1461 W ALLEN ST, BLOOMINGTON, IN 47403-2949
(812) 756-2934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003030A
IN
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
09/25/2017
Last updated
01/18/2023
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