Individual
ELIZABETH KATHLEEN RODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4200
(660) 785-7521
Mailing address
508 S COTTAGE GROVE AVE, KIRKSVILLE, MO 63501-3341
(314) 623-5078
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014001739
MO
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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