Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joseph Randolph Rose

Individual provider Athletic Trainer · NPI 1821763848

Joseph Randolph Rose is an Athletic Trainer in Omaha, Nebraska. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

6323 Maverick Plz
Omaha, NE 68182-0001
Phone: (402) 554-2539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1821763848
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateAugust 11, 2021
Mailing address7625 Lafayette Ave, Omaha, NE 68114-1731

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