Krystal Marie Roller
Specialist/Technologist, Athletic Trainer in Mayfield Heights, OH. Individual provider (NPI-1).
NPI number1407313554
StatusActive
Last updated in NPPESFeb 25, 2019
Details
- NPI
- 1407313554
- Entity type
- Individual (NPI-1)
- Name
- Krystal Marie Roller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2019
- Last updated
- Feb 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
6509 Marsol Rd Apt 401Mayfield Heights, OH 44124-3527
Phone 440-503-4564
Mailing address
6509 Marsol Rd Apt 401Mayfield Heights, OH 44124-3527
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