Search › Louisiana › 2255A2300X
Ebony Rose, MS, LAT, ATC
NPI 1710441951 · on the registry since 2019
Practice
- Address
- 1585 3rd St
Fort Polk, LA 71459 - Phone
- (337) 531-3011
- Organisation at this address
- Ach Bayne-Jones-Ft Johnson
Bayne-Jones Army Community Hospital
Bayne-Jones Army Community Hospital
Baynes-Jones Army Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 170
Additional practice sites
- 340 Mississippi St Se, North Canton, OH
- 124 Hinge Chase, Cibolo, TX
- 80 Bowers Blvd, Huntsville, TX
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- TX, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana