Ivet Lloansi Rodriguez, ATC
Individual provider Active NPI Athletic Trainer · Marshall, MO
NPI 1568069797 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1568069797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 500 E College St
Marshall, MO 65340-3109 - Phone
- (660) 865-9366
- NPI assigned
- Oct 1, 2020
- 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 | MO | Yes |
Addresses
Primary practice location
500 E College St
Marshall, MO 65340-3109
Mailing address
500 E College St
Marshall, MO 65340-3109
Phone (660) 865-9366
Other providers in Marshall, MO
- Legendary Health Care Center, L.L.C.
- Legendary Nursing & Rehabilitation Center, LLC
- Legendary SNF Opco LLC
- Susan Elizabeth Lichtenberg
- Lifetime Dental Associates
- Lockhart Chiropractic, Inc.
- Matthew Long
- Annex Luberisse
- Dylan Gerald Luebbert
- Vincent Miles Lutterbie
All providers in Marshall, MO · Athletic Trainer in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2020. 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.