Randy Gerald Roberg, A.T.C.
Specialist/Technologist, Athletic Trainer in Kennewick, WA. Individual provider (NPI-1).
NPI number1790749232
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1790749232
- Entity type
- Individual (NPI-1)
- Name
- Mr. Randy Gerald Roberg
- Credential
- A.T.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 069502642 | – | Yes |
Practice location
500 S Dayton StKennewick, WA 99336-5640
Phone 509-222-6843
Mailing address
2401 W 6th AveKennewick, WA 99336-4702
Phone 509-586-1579
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