Natalie Marie Roesler, L/ATC
Specialist/Technologist, Athletic Trainer in Muskegon, MI. Individual provider (NPI-1).
NPI number1013514280
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1013514280
- Entity type
- Individual (NPI-1)
- Name
- Natalie Marie Roesler
- Credential
- L/ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2000000632 | MI | Yes |
| 225000000X | Orthotic Fitter | CFo05134 | MI | |
| 225700000X | Massage Therapist | 7501001981 | MI |
Practice location
1400 Mercy Dr Ste 100Muskegon, MI 49444-1833
Phone 231-830-2784 · Fax 231-903-0207
Mailing address
8888 Ferry StMontague, MI 49437-1222
Phone 231-329-3760 · Fax 231-903-0207
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