NPI 1033139308

Kim Koreen Rodgers, MSATCATL

Practitioner Athletic Trainer Glendale, AZ

Practice location

Address: 22800 N 67th Ave, Glendale, AZ 85310-4235
Phone: (623) 376-4738
Mailing address: 2732 W Via Bona Fortuna, Phoenix, AZ 85086-6671

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0071 (AZ)

Other Specialist/Technologist providers in Arizona →

Registry record

NPI: 1033139308
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2006
Record last updated: 26 Dec 2013

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.