Individual
MS. DALE ROTH RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
2800 S FM 51 STE B, DECATUR, TX 76234-4002
(940) 627-7532
(940) 627-7547
Mailing address
PO BOX 1267, DECATUR, TX 76234-6143
(940) 627-7532
(940) 627-7547
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0966
TX
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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