MS. EBONY TARYN ROSE MS, LAT, ATC
NPI 1710441951
Specialist/Technologist - Athletic Trainer in Fort Polk, LA

Active since January 22, 2019
1585 3RD ST, FORT POLK, LA 71459(337) 531-3011 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 11, 2022, Jul 21, 2022, Jan 22, 2019 (3 updates tracked since 2019).

About Ms. Ebony Taryn Rose Ms, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. EBONY TARYN ROSE MS, LAT, ATC (NPI 1710441951) is an individual athletic trainer provider in Fort Polk, Louisiana, licensed in Texas (AT8123) and active in the NPI registry since January 2019. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1710441951
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMS. EBONY TARYN ROSECredential: MS, LAT, ATC
Location Address1585 3RD STFort Polk, LA 71459-5102
Mailing Address124 Hinge ChaseCibolo, TX 78108-3375
Sole ProprietorNo
Enumeration DateJanuary 22, 2019
Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1710441951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Licenses Licensed in TX · AT8123 Licensed in OH · AT005900
Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1585 3RD ST, Fort Polk, LA 71459

Secondary Practice Locations 3

Location 1340 Mississippi St SENorth Canton, OH 44720-3608 · Phone (210) 623-0303
Location 2124 Hinge ChaseCibolo, TX 78108-3375 · Phone (210) 623-0303
Location 380 Bowers BlvdHuntsville, TX 77341-0001 · Phone (936) 294-1111

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1585 3RD ST
FORT POLK, LA 71459
Orthopaedic Surgery
1585 3RD ST, BOX 81
FORT POLK, LA 71459
Nurse Practitioner (Family)
1585 3RD ST, INTERNAL MEDICINE CLINIC
FORT POLK, LA 71459
Family Medicine
1585 3RD ST, BAYNE-JONES ARMY COMMUNITY HOSPITAL
FORT POLK, LA 71459
Physician Assistant
1585 3RD ST
FORT POLK, LA 71459
Physician Assistant
1585 3RD ST, MEDDAC-FP
FORT POLK, LA 71459
Physician Assistant
1585 3RD ST, BAYNE JONES ARMY COMMUNITY HOSPITAL
FORT POLK, LA 71459
Registered Nurse (Community Health)
1585 3RD ST
FORT POLK, LA 71459

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710441951, enumerated as an "individual" on January 22, 2019.

The provider is located at 1585 3RD ST FORT POLK, LA 71459 and the phone number is (337) 531-3011.

Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.