Individual
MELISSA MARIE WILKINS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1120 20TH ST NW, WASHINGTON, DC 20036-3406
(202) 416-2000
(202) 416-2001
Mailing address
16653 DANRIDGE MANOR DR, WOODBRIDGE, VA 22191-4586
(931) 561-7829
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126004025
VA
2255A2300X
Athletic Trainer
A0001615
MD
2255A2300X
Athletic Trainer
Primary
AT23000123
DC
2255A2300X
Athletic Trainer
Primary
LAT-4633
NC
Other
Enumeration date
01/21/2022
Last updated
03/16/2026
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