Blake Fung Rodman
Blake Fung Rodman is an Athletic Trainer in South Lake Tahoe, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2170 S AveSouth Lake Tahoe, CA 96150-7026
Phone: (530) 539-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1588370555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 24, 2023 |
| Last updated in NPPES | June 8, 2025 |
| Certification date | June 7, 2025 |
Other providers in South Lake Tahoe
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Andrew S Borah, ATC
1764 Meadow Vale Dr, South Lake Tahoe, CA 96150-4929 · (802) 318-2717
-
James Jonathan Pratt, MS, ATC, OTC
1139 3rd St, South Lake Tahoe, CA 96150-3465 · (530) 541-3100