NPI 1437663259

Johnny Rodriguez, ATCLAT

Practitioner Athletic Trainer Union, NJ

Practice location

Address: 2350 N 3rd St, Union, NJ 07083-5049
Phone: (732) 423-1571
Mailing address: 1770 Lawrence St APT 4, Rahway, NJ 07065-5175

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00187300 (NJ)

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1437663259
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2017
Record last updated: 1 Dec 2017

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.