Individual
CAIDEN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13410 JAMESTOWN ST, WAVERLY, NE 68462-9757
(308) 293-7488
Mailing address
13410 JAMESTOWN ST, WAVERLY, NE 68462-9757
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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