Individual
LUIS DARIEL RODAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4650 BUCCANEER TRL, CHATTANOOGA, TN 37411-1247
(617) 742-3622
Mailing address
6220 SHALLOWFORD RD APT 519, CHATTANOOGA, TN 37421-6906
(615) 482-4470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2329
TN
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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