Individual
TASHA MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT ATC
Contact information
Practice address
4460 S NOLAND RD, INDEPENDENCE, MO 64055-4743
(816) 373-2845
(816) 373-2842
Mailing address
PO BOX 219297, KANSAS CITY, MO 64121-9297
(816) 373-2845
(816) 373-2842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006005751
MO
2255A2300X
Athletic Trainer
2005004129
MO
Other
Enumeration date
05/10/2007
Last updated
11/21/2022
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