David C Roller, ATC/L
Specialist/Technologist, Athletic Trainer in Rogers, AR. Individual provider (NPI-1).
NPI number1881970366
StatusActive
Last updated in NPPESOct 27, 2011
Details
- NPI
- 1881970366
- Entity type
- Individual (NPI-1)
- Name
- Mr. David C Roller
- Credential
- ATC/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2011
- Last updated
- Oct 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT142 | AR | Yes |
Practice location
2300 S Dixieland RdRogers, AR 72758-6277
Phone 479-636-2202 · Fax 479-631-3554
Mailing address
2810 Laurel Crossing CirRogers, AR 72758-9207
Phone 479-659-5098
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