Provider Demographics
NPI:1821128182
Name:ROLKE, REBECCA LYNN (ATC, LAT)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:LYNN
Last Name:ROLKE
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:535 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5134
Mailing Address - Country:US
Mailing Address - Phone:214-244-4318
Mailing Address - Fax:214-768-1225
Practice Address - Street 1:5800 OWNBY DR
Practice Address - Street 2:BOX 750315
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75275-0315
Practice Address - Country:US
Practice Address - Phone:214-768-2429
Practice Address - Fax:214-768-1225
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT28762255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer