Imani T Rodgers
Individual provider Active NPI Athletic Trainer · Athens, WV
NPI 1467115287 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1467115287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1000 Vermillion St
Athens, WV 24712-9027 - Phone
- (757) 232-7232
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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
1000 Vermillion St
Athens, WV 24712-9027
Mailing address
1000 Vermillion St
Athens, WV 24712-9027
Other providers in Athens, WV
- Karley Renee Poff
- Princeton Community Hospital Assn., Inc
- Jolie M Privett
- Brent Alexander Roark
- John Charles Roberts Jr.
- Jennifer Lauren Sicinski
- Jamari Smith
- State of West Virginia Concord University
- Sarah Steele
- Kaitlyn Stewart
All providers in Athens, WV · Athletic Trainer in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. 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.