Michael Rose, LAT

NPI 1770787509 · on the registry since 2007

Practice

Address: 735 Highgrove Pl
Rockford, IL 61108
Phone: (815) 226-4365
Fax: (815) 226-4589
Organisation at this address: Orthomidwest, Pllc
Athletic & Therapeutic Institute Of Naperville, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-20

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 Illinois