Individual
KENNETH WAYNE ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
8906 EAST LANSING HIGHWAY, DURAND, MI 48429
(989) 288-7215
(989) 288-4215
Mailing address
8906 EAST LANSING HIGHWAY, DURAND, MI 48429
(989) 288-7215
(989) 288-4215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000627
MI
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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