Provider Demographics
NPI:1992073480
Name:ROCKWOOD, CHERYL LYNNE (ATC)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:LYNNE
Last Name:ROCKWOOD
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 UNION ST
Mailing Address - Street 2:UNION COLLEGE DEPARTMENT OF ATHLETICS
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308
Mailing Address - Country:US
Mailing Address - Phone:518-388-6136
Mailing Address - Fax:518-388-6323
Practice Address - Street 1:807 UNION ST
Practice Address - Street 2:UNION COLLEGE DEPARTMENT OF ATHLETICS
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308
Practice Address - Country:US
Practice Address - Phone:518-388-6136
Practice Address - Fax:518-388-6323
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY67 0018422255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer