Provider Demographics
NPI:1508076381
Name:SUNDQUIST, ROB (MS, ATC , LAT)
Entity Type:Individual
Prefix:MR
First Name:ROB
Middle Name:
Last Name:SUNDQUIST
Suffix:
Gender:M
Credentials:MS, ATC , LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 NASH DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-1611
Mailing Address - Country:US
Mailing Address - Phone:940-321-1819
Mailing Address - Fax:
Practice Address - Street 1:3201 OLD DENTON RD
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3957
Practice Address - Country:US
Practice Address - Phone:972-968-4800
Practice Address - Fax:972-968-4810
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT 16692255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer