Summer Robertson, ATC, CSCS
Individual provider Active NPI Athletic Trainer · Eagle Rock, CA
NPI 1093840233 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093840233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 2560 Colorado Blvd
Eagle Rock, CA 90041-1005 - Phone
- (323) 255-5409
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
2560 Colorado Blvd
Eagle Rock, CA 90041-1005
Mailing address
10319 Commerce Ave Apt 10
Tujunga, CA 91042-1984
Other providers in Eagle Rock, CA
- Meeta Natverbhai Patel
- Practice of Medicine
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- Pro Psych Services Inc
- Ricardo Roman MD Inc
- Michelle Rodriguez
- Ricardo Richard Roman
- RX Trader Inc
- Kerrie A Smith
- Stevah Home Health, Inc.
All providers in Eagle Rock, CA · Athletic Trainer in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.