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

Manuel David Pena Rosales, ATC, LAT

Individual provider Athletic Trainer · NPI 1801256698

Manuel David Pena Rosales, ATC, LAT is an Athletic Trainer in Ada, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2016.

Licensed in
OK
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1100 E 14th St Pmb 4503
Ada, OK 74820-6915
Phone: (580) 279-4655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 881 (OK)

Record details

NPI number1801256698
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedMarch 7, 2016
Last updated in NPPESMarch 7, 2016

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