NPI 1003942988

Michael M. Rodriguez, ATC

Practitioner Athletic Trainer Southbury, CT

Practice location

Address: 2 Pomperaug Office Park Suite 303, Southbury, CT 06488-2288
Phone: (203) 264-1735
Fax: (203) 264-9251
Mailing address: 157 Shelter Rock Rd Unit 8, Danbury, CT 06810-7067

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000353 (CT)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1003942988
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.