Benton Rose, ATC, LAT, PES
NPI #1699281816 in Platteville, Wisconsin
Provider Information
- NPI Number
- 1699281816
- Entity Type
- Individual
- Name
- Benton Rose, ATC, LAT, PES
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT, PES
- Enumeration Date
- Dec 26, 2017
- Last Updated
- Dec 26, 2017
Practice Location
- Address
- 1400 EASTSIDE RD
- City
- Platteville
- State
- Wisconsin
- ZIP Code
- 53818-9800
- Phone
- (608) 342-5003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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