Jakob Rodriguez, ATC
NPI #1518421494 in Montgomery, Illinois
Provider Information
- NPI Number
- 1518421494
- Entity Type
- Individual
- Name
- Jakob Rodriguez, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jan 25, 2019
- Last Updated
- Jul 12, 2021
Practice Location
- Address
- 2311 THUNDER GULCH RD
- City
- Montgomery
- State
- Illinois
- ZIP Code
- 60538-3442
- Phone
- (815) 209-6360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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